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General NPI Number Information
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NPI Number | 1013009455
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Entity Type | Individual
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Provider Name | ELZEBIR GISELA ROSARIO SEISE MD
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 03/31/2010
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Provider Practice Location Address
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Address Line | URB. ALTURAS DE FLAMBOYAN CALLE 32 NN 1
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City | BAYAMON
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State | PR
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Zip | 00960
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Country | US
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Telephone | 787-787-8310
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Fax |
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Provider Business Mailing Address
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Address Line | URB. LAS VEGAS CALLE 27 CC 15
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City | CATANO
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State | PR
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Zip | 00962
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Country | US
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Telephone | 787-787-8310
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11259
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License Number State | PR
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