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General NPI Number Information
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NPI Number | 1326001413
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Entity Type | Individual
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Provider Name | CYNTHIA LOPEZ M.D
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Gender | Female
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 05/09/2019
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Provider Practice Location Address
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Address Line | CALLE SERGIO PENA ALMODOVAR ESQUINA FLOR GERENA
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City | HUMACAO
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State | PR
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Zip | 00792
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Country | US
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Telephone | 787-852-0665
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Fax | 787-850-1775
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Provider Business Mailing Address
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Address Line | 130 WINSTON CHURCHILL AVE PMB 356
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City | SAN JUAN
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State | PR
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Zip | 00926-6018
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Country | US
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Telephone | 787-749-3000
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Fax | 939-204-0984
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 16296
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License Number State | PR
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