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General NPI Number Information
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NPI Number | 1821533373
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Entity Type | Organization
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Legal Business Name | CENTRO DE APRENDIZAJE MULTISENSORIAL INTEGRADO
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | CARR198 KM 25.1 COTTO MABU SECTOR LA FERMINA
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 787-912-7739
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Fax |
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Provider Business Mailing Address
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Address Line | 18 CALLE AMSTERDAM URB OLIMPIC VILLE
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City | LAS PIEDRAS
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State | PR
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Zip | 00771
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Country | US
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Telephone | 787-912-7739
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CARMEN M. MENDEZ
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Credential |
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Telephone | 787-912-7739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 001955
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License Number State | PR
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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