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General NPI Number Information
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NPI Number | 1437603347
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Entity Type | Individual
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Provider Name | RADAMES PEREZ
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Gender | Male
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Dates
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Enumeration Date | 08/09/2016
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Last Update Date | 08/09/2016
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Provider Practice Location Address
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Address Line | COND BONNEVILLE # HIGHV18
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City | CAGUAS
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State | PR
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Zip | 00725-5606
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Country | US
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Telephone | 787-674-4003
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Fax |
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Provider Business Mailing Address
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Address Line | E CALLE SALAMANCA APT 1B CONDOMINIO SANTA ANA
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-674-4003
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4735
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License Number State | PR
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