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General NPI Number Information
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NPI Number | 1023166055
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Entity Type | Individual
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Provider Name | RAFAEL H ZARAGOZA URDAZ M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 12/10/2022
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Provider Practice Location Address
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Address Line | 317 AVE MANUEL DOMENECH
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City | SAN JUAN
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State | PR
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Zip | 00918-3511
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Country | US
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Telephone | 787-764-5715
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Fax | 787-764-3709
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Provider Business Mailing Address
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Address Line | 317 AVE MANUEL DOMENECH
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City | SAN JUAN
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State | PR
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Zip | 00918-3511
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Country | US
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Telephone | 787-764-5715
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Fax | 787-764-3709
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 11589
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License Number State | PR
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