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NPI 1275655052

NPI 1275655052 : IRMA NIDIA LAMBOY-SANCHEZ MEDICAL DOCTOR : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1275655052
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    Entity Type          |    Individual 
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    Provider Name        |    IRMA NIDIA LAMBOY-SANCHEZ MEDICAL DOCTOR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/04/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    CONVENIENCIA ST #1402 SUITE 701
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00907
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    Country              |    US
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    Telephone            |    787-723-4582
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    Fax                  |    787-724-5238
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Provider Business Mailing Address
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    Address Line         |    CONVENIENCIA ST #1402 SUITE 701
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00907
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    Country              |    US
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    Telephone            |    787-723-4582
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    Fax                  |    787-724-5238
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    LIC 05345
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    License Number State |    PR
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