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General NPI Number Information
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NPI Number | 1013157726
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Entity Type | Individual
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Provider Name | LUZ S MELENDEZ GOMEZ MD
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Gender | Female
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 12/16/2013
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Provider Practice Location Address
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Address Line | H21 CALLE 5 URB. BELINDA
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City | ARROYO
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State | PR
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Zip | 00714-2025
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Country | US
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Telephone | 787-451-7615
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE A C-1 URB JARDINES DE LAFAYETTE
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City | ARROYO
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State | PR
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Zip | 00714
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Country | US
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Telephone | 787-800-9600
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 17438
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License Number State | PR
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