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General NPI Number Information
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NPI Number | 1265476451
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Entity Type | Individual
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Provider Name | JAIME MARCHENA ARRAUT M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 12/03/2008
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Provider Practice Location Address
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Address Line | 410 AVE GENERAL VALERO TORRE MEDICA DEL ESTE - SUITE 405
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City | FAJARDO
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State | PR
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Zip | 00738-3949
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Country | US
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Telephone | 787-860-0768
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Fax | 787-801-0587
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Provider Business Mailing Address
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Address Line | CALLE LA MILAGROSA #D1 URB. GARCIA PONCE
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 787-863-7921
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Fax | 787-860-2091
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 10460
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License Number State | PR
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