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General NPI Number Information
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NPI Number | 1407867138
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Entity Type | Individual
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Provider Name | CARLOS BARRETO M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 12/15/2011
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Provider Practice Location Address
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Address Line | CALLE J ESQUINA CALLE B SUITE 204 HERMANAS DAVILA
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-780-6866
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Fax | 787-786-5013
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Provider Business Mailing Address
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Address Line | PMB #253 2135 STREET 2 SUITE 15
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City | BAYAMON
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State | PR
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Zip | 00959-5259
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Country | US
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Telephone | 787-780-6866
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Fax | 787-786-5013
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 13220
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License Number State | PR
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