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General NPI Number Information
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NPI Number | 1336267814
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Entity Type | Individual
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Provider Name | JESUS J YAPOR MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CALLECOLON106
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-252-1366
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1567
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City | MOCA
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State | PR
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Zip | 00676-1567
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Country | US
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Telephone | 787-891-1484
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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 | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | 6525
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License Number State | PR
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