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General NPI Number Information
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NPI Number | 1053841932
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Entity Type | Individual
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Provider Name | MARTA E RODRIGUEZ CASTRO RN
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Gender | Female
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 06/14/2017
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Provider Practice Location Address
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Address Line | 396 CALLE DR LUIS F SALA
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City | PONCE
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State | PR
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Zip | 00716
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Country | US
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Telephone | 787-840-0052
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Fax |
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Provider Business Mailing Address
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Address Line | A7 CALLE CEIBA URB MANSIONES DEL SUR
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City | PONCE
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State | PR
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Zip | 00780
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Country | US
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Telephone | 787-361-3385
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 15271
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License Number State | PR
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