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General NPI Number Information
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NPI Number | 1164229464
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Entity Type | Individual
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Provider Name | YMARYNOSKY D PINERO
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Gender | Female
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | HF16 CALLE LIZZIE GRAHAM
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City | TOA BAJA
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State | PR
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Zip | 00949-3634
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Country | US
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Telephone | 787-795-2935
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50757
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City | TOA BAJA
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State | PR
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Zip | 00950-0757
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Country | US
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Telephone | 939-363-0600
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 2496-P.A.
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License Number State | PR
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