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General NPI Number Information
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NPI Number | 1114466935
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Entity Type | Individual
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Provider Name | GIAN CARLO MURATI HERRERA O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | L7 CALLE TER GARDEN HILLS
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-504-2030
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Fax |
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Provider Business Mailing Address
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Address Line | L7 CALLE TERRACE GARDEN HILLS
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City | GUAYNABO
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State | PR
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Zip | 00966-2120
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Country | US
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Telephone | 787-504-2030
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 725
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License Number State | PR
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