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General NPI Number Information
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NPI Number | 1053299164
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Entity Type | Organization
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Legal Business Name | PELVIC SOLUTION INSTITUTE, LLC
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 1804 AVE PONCE DE LEON OFICINA 136-12
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City | SAN JUAN
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State | PR
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Zip | 00726
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Country | US
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Telephone | 787-226-5425
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6480
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City | CAGUAS
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State | PR
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Zip | 00726-6480
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Country | US
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Telephone | 787-226-5425
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAYAN KHORSANDI
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Credential | MD
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Telephone | 787-226-5425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number |
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License Number State |
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