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General NPI Number Information
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NPI Number | 1467564930
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Entity Type | Individual
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Provider Name | JUAN LUIS VILARO-CHARDON MD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | EDIFICIO PARRA SUITE 302
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City | PONCE
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State | PR
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Zip | 00732
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Country | US
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Telephone | 787-844-1248
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Fax | 787-840-1658
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Provider Business Mailing Address
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Address Line | 49 VIGIA ST MANSION DEL SUR
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City | COTO LAUREL
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State | PR
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Zip | 00780-2085
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Country | US
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Telephone | 787-840-1658
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Fax | 787-840-1658
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 10908
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License Number State | PR
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