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General NPI Number Information
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NPI Number | 1780952713
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Entity Type | Organization
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Legal Business Name | TU MEJOR TEMPORADA
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Dates
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Enumeration Date | 12/05/2011
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | CALLE SONIA AJ8 VILLA RICA
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-904-9810
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE SONIA AJ8 URB VILLA RICA
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City | BAYAMON
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State | PR
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Zip | 00959-4918
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Country | US
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Telephone | 787-904-9810
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | MRS. MARLENE TORRES MOLINA
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Credential | TS
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Telephone | 787-904-9810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 16967
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License Number State | PR
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