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General NPI Number Information
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NPI Number | 1376271296
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Entity Type | Organization
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Legal Business Name | CRISTINA LOZADA OPTICAL
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | CALLE 2 E33 BO. CABO CARIBE CARR 155
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-855-0385
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Fax |
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Provider Business Mailing Address
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Address Line | 1631 CALLE LOIRA
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City | SAN JUAN
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State | PR
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Zip | 00926-3013
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Country | US
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Telephone | 787-310-0825
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRISTINA LOZADA
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Credential |
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Telephone | 787-310-0825
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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 |
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License Number State |
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