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General NPI Number Information
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NPI Number | 1861382178
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Entity Type | Organization
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Legal Business Name | KEY THERAPY CLINIC LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | BOULEVARD CORNER L1347
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City | TOA BAJA
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State | PR
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Zip | 00949-9998
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Country | US
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Telephone | 787-449-4092
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Fax |
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Provider Business Mailing Address
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Address Line | URB RIVIERA COURT 16 CALLE DEUCE
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City | BAYAMON
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State | PR
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Zip | 00959-2603
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SPEECH AND LANGUAGE PATHOLOGIST
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Name | YELENNA MARIEL MARRERO FERNANDEZ
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Credential | SLP
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Telephone | 787-449-4092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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