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General NPI Number Information
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NPI Number | 1215058474
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Entity Type | Individual
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Provider Name | LEOCADIA LOPEZ REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BASTAMANTE 550 SERGIO CUEVAS
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City | HATO REY
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-763-5560
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Fax | 787-767-6600
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Provider Business Mailing Address
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Address Line | 3415 CAMINO ALEJANDRINO CONDOMINO PARQUE SAN RAMON APT 701
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-287-0276
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Fax | 787-767-6600
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9764
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License Number State | PR
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