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General NPI Number Information
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NPI Number | 1932732799
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Entity Type | Organization
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Legal Business Name | CENTRO DE TERAPIAS YABISI, PSC
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | CARR #2 92.3 CALLE MARGINAL
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City | CAMUY
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State | PR
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Zip | 00627
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Country | US
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Telephone | 787-597-6367
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1035
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City | CAMUY
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State | PR
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Zip | 00627-1035
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Country | US
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Telephone | 787-597-6367
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAQUEL MARRERO ALFONZO
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Credential | MS SLP
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Telephone | 787-597-6367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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License Number State |
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