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General NPI Number Information
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NPI Number | 1023469624
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Entity Type | Individual
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Provider Name | NILBETH CAROLINA HURTADO GUEVARA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2016
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 311 CALLE COLON
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City | AGUADA
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State | PR
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Zip | 00602-2922
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Country | US
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Telephone | 787-868-3530
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Fax | 878-683-5307
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Provider Business Mailing Address
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Address Line | 13 CALLE TOMAS GONZALEZ
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City | MOCA
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State | PR
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Zip | 00676-5007
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Country | US
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Telephone | 787-232-2078
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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 | 19996
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License Number State | PR
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