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General NPI Number Information
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NPI Number | 1184321200
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Entity Type | Organization
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Legal Business Name | G3A GASTROENTEROLOGY LLC
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 150 AVE AMERICO MIRANDA BO MONACILLOS HOSPITAL ONCOLOGICO
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City | SAN JUAN
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State | PR
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Zip | 00935
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Country | US
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Telephone | 787-413-9923
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 360889
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City | SAN JUAN
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State | PR
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Zip | 00936-0889
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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 / OWNER
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Name | DR. ARTEMIO SANTIAGO MOLINA
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Credential | MD
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Telephone | 787-607-0699
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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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