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NPI 1366842510

NPI 1366842510 : LILLIAM FIGUEROA : PONCE, PR

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General NPI Number Information
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    NPI Number           |    1366842510
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    Entity Type          |    Individual 
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    Provider Name        |    LILLIAM FIGUEROA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/25/2014
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    Last Update Date     |    08/25/2014
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Provider Practice Location Address
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    Address Line         |    8169 CALLE CONCORDIA CENTRO ARARAT SUITE 412 COND SAN VICENTE
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    City                 |    PONCE
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    State                |    PR
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    Zip                  |    00717-1567
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    Country              |    US
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    Telephone            |    787-284-5884
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    Fax                  |    787-284-5874
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Provider Business Mailing Address
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    Address Line         |    URB. GLENVIEW GARDENS T19 W22B
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    City                 |    PONCE
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    State                |    P.R
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    Zip                  |    00730
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    Country              |    UM
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    Telephone            |    787-989-3791
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    71194
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    License Number State |    PR
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