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General NPI Number Information
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NPI Number | 1881581338
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Entity Type | Individual
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Provider Name | LUZ AIDA CORREA
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | AVE. LUIS MUNOZ MARIN 55
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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 | 787-379-2349
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Fax |
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Provider Business Mailing Address
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Address Line | HC 1 BOX 17126
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City | HUMACAO
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State | PR
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Zip | 00791-9030
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Country | US
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Telephone | 787-379-2252
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 280
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License Number State | PR
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