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General NPI Number Information
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NPI Number | 1033480843
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Entity Type | Organization
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Legal Business Name | DANIEL PATRON PEREZ PSC
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 202 CALLE GAUTIER BENITEZ CONSOLIDATED MALL - SUITE 61
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City | CAGUAS
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State | PR
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Zip | 00725-5527
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Country | US
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Telephone | 787-746-2331
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Fax | 787-745-2165
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Provider Business Mailing Address
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Address Line | PO BOX 8248
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City | CAGUAS
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State | PR
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Zip | 00726-8248
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Country | US
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Telephone | 787-746-2331
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Fax | 787-745-2165
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL PATRON - PEREZ
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Credential | MD
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Telephone | 787-746-2331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 6158
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License Number State | PR
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