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General NPI Number Information
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NPI Number | 1053158857
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Entity Type | Organization
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Legal Business Name | DEPARTAMENTO DE SALUD OFICIAL
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Dates
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Enumeration Date | 07/10/2024
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | URB BRISAS LAS MARIAS CALLE GEMINIS #206
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City | VIEQUES
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State | PR
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Zip | 00765
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Country | US
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Telephone | 787-765-2929
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 326
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City | VIEQUES
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State | PR
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Zip | 00765
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Country | US
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Telephone | 787-765-2929
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Fax |
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Authorized Official
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Title or Position | SECRETARIO AUXILIAR
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Name | MR. YESAREL Y. PESANTE SANCHEZ
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Credential |
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Telephone | 787-765-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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