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NPI 1093819112

NPI 1093819112 : JAN PIERRE ZEGARRA MD : GUAYNABO, PR

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General NPI Number Information
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    NPI Number           |    1093819112
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    Entity Type          |    Individual 
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    Provider Name        |    JAN PIERRE ZEGARRA MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/11/2006
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    Last Update Date     |    07/06/2023
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Provider Practice Location Address
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    Address Line         |    EDIFICIO BUCARE URB BUCARE, CALLE TURQUESA 2050
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    City                 |    GUAYNABO
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    State                |    PR
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    Zip                  |    00969
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    Country              |    US
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    Telephone            |    787-758-5034
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 270-080 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00928-2780
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    Country              |    US
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    Telephone            |    787-763-5670
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    Fax                  |    787-753-3584
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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        |    2086S0105X
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    Taxonomy Name        |    Surgery of the Hand (Surgery) Physician
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    License Number       |    4763
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    License Number State |    PR
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