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General NPI Number Information
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NPI Number | 1316938194
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Entity Type | Individual
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Provider Name | RAFAEL JOSE ALBANDOZ JR. MD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 110 CALLE GEORGETTI
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City | SAN JUAN
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State | PR
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Zip | 00925-3505
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Country | US
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Telephone | 787-764-1830
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Fax | 787-767-7741
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Provider Business Mailing Address
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Address Line | 26 CALLE 1 VILLA LOS OLMOS
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City | SAN JUAN
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State | PR
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Zip | 00927-4605
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Country | US
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Telephone | 787-764-6267
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Fax | 787-764-6267
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 6414
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License Number State | PR
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