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General NPI Number Information
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NPI Number | 1033237458
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Entity Type | Organization
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Legal Business Name | CAROLINA OB-GYN
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | VIA MIRTHA 3KS-4 URB. VILLA FONTANA
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City | CAROLINA
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State | PR
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Zip | 00983
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Country | US
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Telephone | 787-757-0820
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Fax | 787-768-1900
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Provider Business Mailing Address
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Address Line | PO BOX 6247 LOIZA ST. STATION
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City | SAN JUAN
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State | PR
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Zip | 00914-6247
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Country | US
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Telephone | 787-757-0820
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Fax |
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Authorized Official
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Title or Position | ADMINISTRADOR
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Name | DR. EDGARDO JOSE APONTE - SANCHEZ
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Credential | M.D.
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Telephone | 787-757-0820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 11317
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License Number State | PR
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