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General NPI Number Information
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NPI Number | 1295778991
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Entity Type | Individual
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Provider Name | FELIX V MATOS MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 65TH INFANTRY ROAD, KM. 12.6
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-257-5314
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Fax | 787-257-5420
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Provider Business Mailing Address
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Address Line | PO BOX 6751
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City | CAGUAS
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State | PR
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Zip | 00726-6751
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Country | US
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Telephone | 787-744-6255
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Fax | 787-257-5420
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 7710
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License Number State | PR
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