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General NPI Number Information
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NPI Number | 1831860501
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Entity Type | Organization
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Legal Business Name | SERVICIOS TERAPEUTICOS NEUROFONI LLC
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 09/23/2021
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Provider Practice Location Address
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Address Line | DUFRESNE 19 SUITE 1
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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 | 787-624-4079
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Fax |
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Provider Business Mailing Address
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Address Line | HC 4 BOX 6928
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City | YABUCOA
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State | PR
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Zip | 00767-9513
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Country | US
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Telephone | 787-624-4079
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DIOMARA BEATRIZ RIVERA
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Credential | SPEECH-LANGUAGE THER
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Telephone | 787-624-4079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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