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General NPI Number Information
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NPI Number | 1326626037
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Entity Type | Individual
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Provider Name | ROBERTO E PAGAN RIVERA DC
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Gender | Male
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | #63 W CALLE MENDEZ VIGO EDIFICIO TORRE DE HOSTOS OF. 1D
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-805-0707
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3286
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City | MAYAGUEZ
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State | PR
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Zip | 00681-3286
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Country | US
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Telephone | 787-805-0707
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Fax | 787-652-4795
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 770
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License Number State | PR
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