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General NPI Number Information
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NPI Number | 1194176578
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Entity Type | Individual
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Provider Name | DAVID BEATON COMULADA M.D
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Gender | Male
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | UNIVERSITY DISTRICT HOSPITAL BO , MONACILLOS
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City | SAN JUAN
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State | PR
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Zip | 00935-0001
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Country | US
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Telephone | 787-754-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 1887 CALLE FRANCISCO QUINDOS
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City | SAN JUAN
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State | PR
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Zip | 00926-7732
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Country | US
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Telephone | 787-949-9532
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Fax | 347-577-4596
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 23744
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 23744
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 23744
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License Number State | PR
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