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General NPI Number Information
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NPI Number | 1265534424
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Entity Type | Individual
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Provider Name | JOSEFA COTTO HERNANDEZ MD
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | CALLE 54 SE 1277 URB LA RIVIERA
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City | RIO PIEDRAS
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-781-7512
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Fax |
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Provider Business Mailing Address
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Address Line | 189 COCO PLUMOROSO URB BOSQUE DE LAS PALMAS
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City | BAYAMON
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State | PR
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Zip | 00959-9250
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Country | US
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Telephone | 787-630-3207
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 14291
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License Number State | PR
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