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General NPI Number Information
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NPI Number | 1235312505
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Entity Type | Organization
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Legal Business Name | DRA. DAISY VAZQUEZ DUBEAU OB-GYN CSP
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 576 CALLE CESAR GONZALEZ STE 401 DORAL BANK CENTER
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City | SAN JUAN
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State | PR
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Zip | 00918-3769
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Country | US
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Telephone | 787-766-1920
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 195567
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City | SAN JUAN
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State | PR
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Zip | 00919-5567
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Country | US
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Telephone | 787-766-1920
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | GRISELLE MONTALVO
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Credential |
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Telephone | 787-306-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 10973
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License Number State | PR
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