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General NPI Number Information
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NPI Number | 1093839540
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Entity Type | Organization
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Legal Business Name | SAN JUAN OPHTHALMOLOGY GROUP CSP
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 05/06/2010
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Provider Practice Location Address
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Address Line | 29 WASHINGTON STREET SUITE 707
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City | SAN JUAN
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State | PR
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Zip | 00907-1503
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Country | US
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Telephone | 787-723-4670
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Fax | 787-722-6533
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Provider Business Mailing Address
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Address Line | 29 WASHINGTON STREET SUITE 707
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City | SAN JUAN
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State | PR
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Zip | 00907-1503
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Country | US
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Telephone | 787-723-4670
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Fax | 787-722-6533
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAUL G FRANCESCHI
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Credential | M,D.
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Telephone | 787-723-4670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 9406
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License Number State | PR
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