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General NPI Number Information
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NPI Number | 1033390240
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Entity Type | Organization
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Legal Business Name | RAMON E FIGUEROA RODRIGUEZ
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | CARR. 863 K.M. 1.5 BO. PAJAROS
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-798-0575
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 703
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City | TOA BAJA
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State | PR
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Zip | 00951-0703
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Country | US
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Telephone | 787-798-0575
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RAMON ERNESTO FIGUEROA
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Credential | OPTICIANS
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Telephone | 787-798-0575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 609
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License Number State | PR
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