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General NPI Number Information
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NPI Number | 1285620476
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Entity Type | Individual
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Provider Name | ELISA DEL SOCORRO CRUZ-ARRIGOITIA MD
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Gender | Female
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 11/04/2009
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Provider Practice Location Address
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Address Line | ROAD 135, KM. 64.2 BOX 177
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City | CASTANER
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State | PR
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Zip | 00631-0000
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Country | US
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Telephone | 787-460-2090
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Fax | 787-829-2913
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Provider Business Mailing Address
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Address Line | ROAD 135, KM. 64.2 BOX 177
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City | CASTANER
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State | PR
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Zip | 00631-0000
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Country | US
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Telephone | 787-460-2090
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Fax | 787-829-2913
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9148
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License Number State | PR
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