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General NPI Number Information
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NPI Number | 1942778006
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Entity Type | Individual
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Provider Name | HILVIA ELENA BLANCO
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Gender | Female
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 46 CALLE RAFAEL ARROYO URB EL RECREO
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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 | 787-922-6103
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Fax |
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Provider Business Mailing Address
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Address Line | URB. EL VALLE LOS PRADOS BOX 279 CALLE PALMA REAL A11
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City | CAGUAS
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State | PR
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Zip | 00727
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Country | US
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Telephone | 787-922-6103
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 763
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License Number State | PR
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