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General NPI Number Information
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NPI Number | 1336241611
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Entity Type | Individual
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Provider Name | CECILO JOSE CADIZ FIGUEROA
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Gender | Male
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | EDIF PROFESIONAL MEDICO OFICINA 103 HOSPITAL MENONITA CALLE C VAZQUEZ BO CAONILLAS
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City | AIBONITO
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State | PR
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Zip | 00705
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Country | US
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Telephone | 787-735-8001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1265
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City | AIBONITO
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State | PR
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Zip | 00705-1265
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Country | US
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Telephone | 787-640-8104
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 8719
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License Number State | PR
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