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General NPI Number Information
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NPI Number | 1487661898
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Entity Type | Individual
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Provider Name | VIVIANNE M GARCIA FERNANDEZ O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/14/2021
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Provider Practice Location Address
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Address Line | CALLE MUNOZ RIVERA 9 C2 ESQ CELIS AGUILERA
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City | CAGUAS
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State | PR
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Zip | 00725-9888
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Country | US
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Telephone | 787-903-1120
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Fax | 787-963-0335
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Provider Business Mailing Address
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Address Line | 9 C MUNOZ RIVERA ESQ CELIS AGUILERA C2
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-903-0140
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Fax | 787-744-2860
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 607
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License Number State | PR
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