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General NPI Number Information
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NPI Number | 1952023855
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Entity Type | Individual
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Provider Name | HAZEL COLON ARROYO BACHILLERATO
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Gender | Female
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 09/16/2022
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Provider Practice Location Address
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Address Line | 2972 AVE EMILIO FAGOT
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City | PONCE
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State | PR
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Zip | 00716-3615
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Country | US
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Telephone | 787-598-0323
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Fax |
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Provider Business Mailing Address
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Address Line | URB. EXT LA FE CALLE SAN PEDRO 22317
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City | JUANA DIAZ
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State | PR
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Zip | 00795
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Country | US
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Telephone | 787-431-1014
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 7648
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License Number State | PR
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