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General NPI Number Information
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NPI Number | 1154204329
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Entity Type | Individual
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Provider Name | DYNIE LOUIS TOUSSAINT MD
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Gender | Female
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 55 CALLE PALMA
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City | ARECIBO
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State | PR
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Zip | 00612-4526
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Country | US
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Telephone | 787-650-1030
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Fax |
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Provider Business Mailing Address
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Address Line | 666 CALLE UN APT 9
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City | SAN JUAN
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State | PR
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Zip | 00907-3437
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Country | US
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Telephone | 585-755-9385
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 024582
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License Number State | PR
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