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General NPI Number Information
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NPI Number | 1003008517
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Entity Type | Individual
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Provider Name | DANIEL MENDEZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 100 AVE LUIS MUNOZ MARIN
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City | CAGUAS
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State | PR
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Zip | 00725-6184
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Country | US
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Telephone | 787-653-3434
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Fax |
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Provider Business Mailing Address
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Address Line | 100 AVE LUIS MUNOZ MARIN
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City | CAGUAS
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State | PR
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Zip | 00725-6184
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Country | US
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Telephone | 787-653-3434
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 26630
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD433674
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 17067
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License Number State | PR
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