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General NPI Number Information
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NPI Number | 1245325406
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Entity Type | Individual
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Provider Name | JOSE R NADAL MD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1400 CALLE SAN RAFAEL SUITE 201
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City | SANTURCE
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State | PR
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Zip | 00909-2693
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Country | US
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Telephone | 787-721-6626
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Fax | 787-725-1287
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Provider Business Mailing Address
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Address Line | PO BOX 2313
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City | BAYAMON
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State | PR
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Zip | 00960-2313
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Country | US
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Telephone | 787-793-1354
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4847
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License Number State | PR
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