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General NPI Number Information
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NPI Number | 1407851298
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Entity Type | Individual
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Provider Name | ERLANDO MENDEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | PLAZA HATO ARRIBA CARR 111 KM 14.5 OFICINA #4
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685
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Country | US
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Telephone | 787-280-7029
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Fax | 787-280-7029
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Provider Business Mailing Address
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Address Line | PO BOX 5346
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-5346
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Country | US
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Telephone | 787-280-7029
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Fax | 787-280-7029
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 10646
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 10646
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License Number State | PR
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