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General NPI Number Information
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NPI Number | 1205051364
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Entity Type | Individual
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Provider Name | JOSE ANTONIO BARRERAS MD
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/27/2011
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Provider Practice Location Address
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Address Line | LUQUILLO PLAZA, OFICINA 14 B
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City | LUQUILLO
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State | PR
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Zip | 00773
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Country | US
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Telephone | 787-889-5959
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Fax |
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Provider Business Mailing Address
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Address Line | MAYABUEZ ST #137 APARTMENT 316
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City | HATO REY
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State | PR
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Zip | 00917
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Country | US
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Telephone | 787-633-0957
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 14655
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License Number State | PR
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