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General NPI Number Information
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NPI Number | 1326099466
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Entity Type | Individual
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Provider Name | VIRGEN M BAEZ HERNANDEZ MD
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Gender | Female
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | CALLE 15 N 24 STA JUANA
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City | CAGUAS
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State | PR
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Zip | 00726
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Country | US
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Telephone | 787-743-5620
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Fax | 787-258-0302
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Provider Business Mailing Address
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Address Line | PMB 163 PO BOX 4956
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City | CAGUAS
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State | PR
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Zip | 00726-4956
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Country | US
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Telephone | 787-743-5620
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Fax | 787-258-0302
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 13009
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License Number State | PR
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