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General NPI Number Information
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NPI Number | 1063786499
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Entity Type | Individual
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Provider Name | NADIA E VERA R.D., L.N.D.
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Gender | Female
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 03/02/2012
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Provider Practice Location Address
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Address Line | EDIFICIO LABORATORIO PUJOLS, SUITE 3, CARR 111, KM 16.9 BO. GUATEMALA
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685
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Country | US
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Telephone | 787-428-2299
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 223
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-0223
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Country | US
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Telephone | 787-354-9234
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 1660
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 00993454
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License Number State | PR
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