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General NPI Number Information
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NPI Number | 1366794141
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Entity Type | Individual
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Provider Name | EIMAELIS CARABALLO MARTINEZ ADN
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Gender | Female
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Dates
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Enumeration Date | 10/04/2012
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Last Update Date | 10/04/2012
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Provider Practice Location Address
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Address Line | BO CARACOLES 2 PARCERA 468
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City | PENUELAS
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State | PR
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Zip | 00624
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Country | US
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Telephone | 787-996-0807
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1149
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City | PENUELAS
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State | PR
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Zip | 00624-1149
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Country | US
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Telephone | 787-996-0807
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 18294
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License Number State | PR
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