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General NPI Number Information
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NPI Number | 1265408769
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Entity Type | Individual
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Provider Name | MANUEL ARTURO GARCIA VERGNE MD
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Gender | Male
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 03/26/2019
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Provider Practice Location Address
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Address Line | AVE. GENERAL DEL VALLE #1017 URB. DELICIA
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City | RIO PIEDRAS
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-268-8129
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Fax | 787-268-7790
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Provider Business Mailing Address
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Address Line | SERRANIA A18 GARDEN HILLS
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City | GUAYNABO
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State | PR
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Zip | 00966-1797
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Country | US
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Telephone | 787-268-8129
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Fax | 787-268-7790
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 2670
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License Number State | PR
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