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General NPI Number Information
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NPI Number | 1225016132
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Entity Type | Individual
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Provider Name | ANGEL M AVILES AVILES MD
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Gender | Male
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | CALLE DEL PARQUE 607A
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City | SANTURCE
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State | PR
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Zip | 00909
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Country | US
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Telephone | 787-982-0088
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19450
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City | SAN JUAN
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State | PR
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Zip | 00910-1450
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Country | US
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Telephone | 787-982-0088
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Fax | 787-982-0091
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 20576
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 13808
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License Number State | PR
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