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General NPI Number Information
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NPI Number | 1114999745
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Entity Type | Individual
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Provider Name | MARGARET L. MATOS O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 404 AVE SAN CLAUDIO SAGRADO CORAZON
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City | SAN JUAN
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State | PR
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Zip | 00926-4107
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Country | US
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Telephone | 787-760-0950
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Fax | 787-748-9207
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Provider Business Mailing Address
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Address Line | 404 AVE SAN CLAUDIO SAGRADO CORAZON
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City | SAN JUAN
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State | PR
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Zip | 00926-4107
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Country | US
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Telephone | 787-760-0950
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Fax | 787-748-9207
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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 | 155
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License Number State | PR
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