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General NPI Number Information
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NPI Number | 1366186652
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Entity Type | Individual
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Provider Name | MARIA ANGELES DE PAZ DO
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Gender | Female
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Dates
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Enumeration Date | 04/23/2022
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Last Update Date | 04/23/2022
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Provider Practice Location Address
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Address Line | GP3 AVE ROBERTO SANCHEZ VILELLA
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City | CAROLINA
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State | PR
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Zip | 00982-2677
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Country | US
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Telephone | 787-768-2335
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Fax | 787-769-3308
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Provider Business Mailing Address
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Address Line | AB20 CALLE TORREON
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City | SAN JUAN
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State | PR
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Zip | 00926-4703
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Country | US
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Telephone | 939-644-1398
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 0697
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License Number State | PR
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