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General NPI Number Information
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NPI Number | 1396708947
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Entity Type | Individual
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Provider Name | JUAN RODRIGUEZ DEL VALLE MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 52 CALLE MAYAGUEZ URBANIZACION PEREZ MORRIS
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City | SAN JUAN
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State | PR
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Zip | 00917-4915
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Country | US
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Telephone | 787-764-0473
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Fax | 787-764-0482
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Provider Business Mailing Address
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Address Line | P O BOX 361798
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City | SAN JUAN
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State | PR
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Zip | 00936-1798
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Country | US
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Telephone | 787-294-0812
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Fax | 787-294-1334
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2497
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License Number State | PR
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