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General NPI Number Information
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NPI Number | 1306801550
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Entity Type | Individual
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Provider Name | ANOUK UNDERWOOD O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | PROFESIONAL HOSPITAL NUM 10 AVE LAS CUMBRES SUITE 104
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City | GUAYNABO
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State | PR
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Zip | 00969-1111
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Country | US
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Telephone | 787-513-4187
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Fax | 787-258-8225
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Provider Business Mailing Address
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Address Line | EDIFICIO FAMMA PMB 345 AVE ASHFOR 1357
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City | SAN JUAN
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State | PR
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Zip | 00907-1111
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Country | US
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Telephone | 787-513-4187
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Fax | 787-258-8225
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 600
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License Number State | PR
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