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General NPI Number Information
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NPI Number | 1285961730
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Entity Type | Organization
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Legal Business Name | CLINICA PODIATRICA DR ESCALONA PSC
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 11/04/2009
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Provider Practice Location Address
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Address Line | 359 CALLE SAN CLAUDIO # CUPEY SUITE 200
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City | SAN JUAN
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State | PR
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Zip | 00926-9907
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Country | US
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Telephone | 787-764-8798
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Fax | 787-523-0925
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Provider Business Mailing Address
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Address Line | B3 CALLE 1 VILLAS DE SAN FRANCISCO
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City | SAN JUAN
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State | PR
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Zip | 00927-6449
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Country | US
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Telephone | 787-764-8798
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Fax | 787-523-0925
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. YANIRA PASTOR
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Credential |
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Telephone | 787-764-8798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 071
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License Number State | PR
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