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General NPI Number Information
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NPI Number | 1104067792
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Entity Type | Individual
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Provider Name | ZANYA O. RIVERA SANTANA MD
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Gender | Female
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Dates
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Enumeration Date | 03/12/2009
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Last Update Date | 10/19/2009
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Provider Practice Location Address
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Address Line | CARR 405 KM 1.2 INT BO. CARRERAS
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City | ANASCO
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State | PR
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Zip | 00610-0303
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Country | US
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Telephone | 787-826-3747
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 303
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City | ANASCO
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State | PR
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Zip | 00610-0303
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Country | US
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Telephone | 787-826-3747
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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 | 17504
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License Number State | PR
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