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General NPI Number Information
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NPI Number | 1194724922
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Entity Type | Individual
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Provider Name | LISBETTE POLANCO M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 1907 CLARK POINTE
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City | CHARLESTON
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State | WV
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Zip | 25314
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Country | US
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Telephone | 304-344-4761
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 261 135 TABONUCO SUITE 216
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City | GUAYNABO
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State | PR
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Zip | 00968
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Country | US
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Telephone | 304-344-4761
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 12843
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12843
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License Number State | PR
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