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General NPI Number Information
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NPI Number | 1497090278
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Entity Type | Organization
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Legal Business Name | JESUS E PIJEM GARCIA
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Dates
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Enumeration Date | 12/04/2012
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 554 CALLE CABO ALVERIO URB LA MERCED
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City | SAN JUAN
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State | PR
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Zip | 00918-3724
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Country | US
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Telephone | 787-241-6897
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Fax | 787-758-1000
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Provider Business Mailing Address
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Address Line | PO BOX 360071
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City | SAN JUAN
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State | PR
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Zip | 00936-0071
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Country | US
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Telephone | 787-241-6897
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Fax | 787-758-1000
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. JESUS E PIJEM-GARCIA
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Credential | MD
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Telephone | 787-241-6897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 3564
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License Number State | PR
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