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General NPI Number Information
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NPI Number | 1427185735
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Entity Type | Individual
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Provider Name | GISELA DIAZ PH.D
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 161 CALLE CESAR GONZALEZ COND.PAVILION COURT APT 91
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City | SAN JUAN
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State | PR
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Zip | 00918-1401
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Country | US
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Telephone | 787-764-5744
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Fax | 787-721-5349
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Provider Business Mailing Address
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Address Line | 161 CALLE CESAR GONZALEZ COND.PAVILION COURT APT 91
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City | SAN JUAN
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State | PR
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Zip | 00918-1401
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Country | US
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Telephone | 787-764-5744
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Fax | 787-721-5349
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3223
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License Number State | PR
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