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General NPI Number Information
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NPI Number | 1457669160
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Entity Type | Individual
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Provider Name | BELEN MALDONADO
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Gender | Female
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | SAN JORGE 357 APT 357 LAS TERESAS
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City | SAN JUAN
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State | PR
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Zip | 00912
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Country | US
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Telephone | 787-347-3120
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10241
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City | SAN JUAN
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State | PR
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Zip | 00908-1241
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Country | US
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Telephone | 787-347-3120
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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 | 156FC0800X
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Taxonomy Name | Contact Lens Technician/Technologist
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License Number | NONE
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 156FC0801X
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Taxonomy Name | Contact Lens Fitter
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License Number | NONE
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 156FX1101X
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Taxonomy Name | Ophthalmic Assistant
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License Number | NONE
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 674
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License Number State | PR
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