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General NPI Number Information
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NPI Number | 1063928877
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Entity Type | Individual
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Provider Name | JEHISA CONTRERAS MD
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Gender | Female
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Dates
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Enumeration Date | 12/18/2017
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 1 PINERO ESQUINA ARZUAGA
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City | SAN JUAN
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State | PR
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Zip | 00925
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Country | US
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Telephone | 787-480-1032
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Fax |
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Provider Business Mailing Address
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Address Line | W2 CALLE MONTE DEL ESTADO
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City | GUAYNABO
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State | PR
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Zip | 00969-5238
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Country | US
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Telephone | 787-237-0460
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 19790
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License Number State | PR
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