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General NPI Number Information
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NPI Number | 1467415653
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Entity Type | Individual
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Provider Name | RAFAEL A. TABOAS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2006
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 525 AVE FD ROOSEVELT TORRE DE PLAZA ; SUITE 705
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City | SAN JUAN
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State | PR
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Zip | 00918-8001
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Country | US
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Telephone | 787-767-0599
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Fax | 787-756-0774
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Provider Business Mailing Address
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Address Line | 525 AVE FD ROOSEVELT TORRE DE PLAZA ; SUITE 705
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City | SAN JUAN
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State | PR
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Zip | 00918-8001
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Country | US
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Telephone | 787-767-0599
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Fax | 787-756-0774
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 8103
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License Number State | PR
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