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General NPI Number Information
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NPI Number | 1447211347
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Entity Type | Individual
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Provider Name | GILBERTO OLIVERAS SOTO M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HOSP SAN FRANCISCO AVE D DE DIEGO 371
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City | RIO PIEDRAS
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-767-0102
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Fax | 787-767-1899
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Provider Business Mailing Address
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Address Line | PO BOX 71325
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City | SAN JUAN
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State | PR
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Zip | 00936-8425
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Country | US
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Telephone | 787-767-0102
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Fax | 787-769-2062
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 9387
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License Number State | PR
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