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General NPI Number Information
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NPI Number | 1326161084
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Entity Type | Organization
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Legal Business Name | DR PAOLI VARGAS MEDICAL GROUP
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 04/26/2008
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Provider Practice Location Address
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Address Line | BRISAS DEL PRADO CALLE JILGUERO 2221
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City | SANTA ISABEL
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State | PR
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Zip | 00757-2580
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Country | US
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Telephone | 787-314-9703
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Fax |
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Provider Business Mailing Address
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Address Line | BRISAS DEL PRADO CALLE JILGUERO 2221
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City | SANTA ISABEL
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State | PR
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Zip | 00757-2580
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Country | US
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Telephone | 787-314-9703
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WALDEMAR PAOLI
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Credential | M.D.
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Telephone | 787-314-9703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | PR
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