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General NPI Number Information
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NPI Number | 1992172613
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Entity Type | Individual
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Provider Name | IVETTE NATHALIE GALINDO M.SC.
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Gender | Female
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 01/19/2017
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Provider Practice Location Address
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Address Line | 67 CALLE PAVIA FERNANDEZ
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-2207
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Country | US
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Telephone | 787-517-2024
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12
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City | CAMUY
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State | PR
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Zip | 00627-0012
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Country | US
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Telephone | 787-517-2024
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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 | 003056
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License Number State | PR
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