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General NPI Number Information
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NPI Number | 1407816424
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Entity Type | Individual
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Provider Name | RAFAEL ENRIQUE ESPINOSA M.D
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | MUNOZ RIVERA # 7
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City | NAGUABO
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State | PR
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Zip | 00718
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Country | US
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Telephone | 787-874-3395
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Fax | 787-874-3395
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Provider Business Mailing Address
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Address Line | P.O BOX 8981
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City | HUMACAO
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State | PR
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Zip | 00792
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Country | US
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Telephone | 787-852-3756
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 15701
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License Number State | PR
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