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General NPI Number Information
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NPI Number | 1437251733
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Entity Type | Individual
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Provider Name | RICARDO D GALAN VAZQUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 07/13/2010
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Provider Practice Location Address
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Address Line | MAR CARIBE 576 PASEO LOS CORALES I
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-278-0522
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Fax | 787-278-0522
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Provider Business Mailing Address
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Address Line | 576 CALLE MAR CARIBE # I
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City | DORADO
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State | PR
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Zip | 00646-4506
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Country | US
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Telephone | 787-622-5440
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Fax | 787-278-0522
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 11405
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License Number State | PR
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