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General NPI Number Information
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NPI Number | 1922194646
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Entity Type | Individual
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Provider Name | MAYDEL MONTANEZ OCASIO PT
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | MARINA PLAZA 22-23
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-466-0646
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Fax | 787-712-0979
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Provider Business Mailing Address
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Address Line | CIUDAD JARDIN I CALLE MANZANILLA 22
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-466-0646
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Fax | 787-712-0979
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1269
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License Number State | PR
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