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General NPI Number Information
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NPI Number | 1396820130
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Entity Type | Individual
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Provider Name | YARI VALE MORENO M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | CAPARRA GALLERY CALLE ORTEGON NUM. 107 SUITE 312
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City | GUAYNABO
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State | PR
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Zip | 00966-1774
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Country | US
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Telephone | 787-754-0907
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Fax |
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Provider Business Mailing Address
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Address Line | URB LA CUMBRE 267 ST SIERRA MORENA BOX 263
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-600-7798
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Fax | 787-705-0150
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 228464
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 16059
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License Number State | PR
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