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General NPI Number Information
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NPI Number | 1265837934
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Entity Type | Organization
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Legal Business Name | D'ANN MEDICAL & ESTHETIQUE, PSC
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 129-28 AVE ROBERTO CLEMENTE VILLA CAROLINA
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City | CAROLINA
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State | PR
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Zip | 00985-5324
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Country | US
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Telephone | 787-757-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 203 VIA ENRAMADA ENTRERIOS
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-6176
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ANA INES RAMIREZ
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Credential | M.D
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Telephone | 787-757-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 11417
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License Number State | PR
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