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General NPI Number Information
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NPI Number | 1376578021
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Entity Type | Individual
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Provider Name | CARMEN MARIA SANTIAGO CANDELARIA 19835
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Gender | Female
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1551 CALLE ALDA STE 201 URB. CARIBE
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City | SAN JUAN
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State | PR
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Zip | 00926-2709
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Country | US
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Telephone | 787-281-0810
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 350
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City | CAMUY
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State | PR
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Zip | 00627-0350
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Country | US
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Telephone | 787-262-3520
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 19835
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License Number State | PR
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