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General NPI Number Information
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NPI Number | 1881831105
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Entity Type | Organization
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Legal Business Name | CENTRO EDUCATIVO Y TERAPEUTICO DEL OESTE INC.
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | GUANAJIBO SHOPP CTR # 445 AVENIDA GONZALEZ CLEMENTE SUIT 102
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City | MAYAGUEZ
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State | PR
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Zip | 00682-1145
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Country | US
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Telephone | 787-378-1900
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Fax |
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Provider Business Mailing Address
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Address Line | GUANAJIBO SHOPP CTR # 445 AVENIDA GONZALEZ CLEMENTE SUIT 102
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City | MAYAGUEZ
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State | PR
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Zip | 00682-1145
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Country | US
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Telephone | 787-378-1900
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MR. JUAN JAVIER MALDONADO
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Credential |
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Telephone | 787-475-3151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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Taxonomy #3
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 235500000X
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Taxonomy Name | Speech/Language/Hearing Specialist/Technologist
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License Number |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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Taxonomy #8
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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Taxonomy #9
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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Taxonomy #10
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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Taxonomy #11
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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Taxonomy #12
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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