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General NPI Number Information
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NPI Number | 1144900036
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Entity Type | Organization
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Legal Business Name | NBC GASTROENTEROLOGY LLC
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 435 AVE. PONCE DE LEON HOSPITAL PAVIA 3ER PISO
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City | SAN JUAN
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State | PR
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Zip | 00917
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Country | US
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Telephone | 787-564-8146
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Fax |
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Provider Business Mailing Address
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Address Line | 105 AVE ARTERIAL HOSTOS APT A202
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City | SAN JUAN
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State | PR
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Zip | 00918-2978
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NATALIA BLANCO CINTRON
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Credential | MD
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Telephone | 787-564-8146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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