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General NPI Number Information
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NPI Number | 1194801522
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Entity Type | Individual
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Provider Name | WILLIAM DE LA PAZ M.D..
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Gender | Male
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 652 AVE MUNOZ RIVERA SUITE 3220
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City | SAN JUAN
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State | PR
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Zip | 00918-4257
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Country | US
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Telephone | 787-767-3450
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Fax | 787-767-3450
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Provider Business Mailing Address
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Address Line | 5 CALLE 1A ALTURAS BERWIND
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City | SAN JUAN
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State | PR
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Zip | 00924-2465
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Country | US
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Telephone | 787-257-1459
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Fax | 787-757-2112
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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 | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 7818
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License Number State | PR
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