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General NPI Number Information
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NPI Number | 1205846979
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Entity Type | Individual
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Provider Name | VIVIAN RAQUEL BONILLA- FELIX MD
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 04/10/2019
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Provider Practice Location Address
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Address Line | COND DARLINGTON 1110 MUNOZ RIVERA 1007
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City | RIO PIEDRAS
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State | PR
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Zip | 00925
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Country | US
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Telephone | 787-764-1506
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Fax | 787-535-1031
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Provider Business Mailing Address
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Address Line | CONDOMINIO DARLINGTON 1110 MUNOZ RIVERA 1007
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City | RIO PIEDRAS
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State | PR
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Zip | 00925
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Country | US
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Telephone | 787-263-8184
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Fax | 787-535-1031
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 7989
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License Number State | PR
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