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General NPI Number Information
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NPI Number | 1952703399
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Entity Type | Individual
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Provider Name | DINED SANTIAGO
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Gender | Female
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 66 URB CATALANA EDIFICIO COMERCIAL #1
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City | BARCELONETA
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State | PR
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Zip | 00617-2725
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Country | US
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Telephone | 787-406-3180
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Fax |
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Provider Business Mailing Address
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Address Line | CARR. 682 KM.11.7
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City | ARECIBO
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State | PR
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Zip | 00614
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Country | UM
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Telephone | 787-406-3180
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2071
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License Number State | PR
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