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General NPI Number Information
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NPI Number | 1497858401
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Entity Type | Individual
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Provider Name | EDNA I ROBLES MD
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 107 CALLE PADRE LAS CASAS URB EL VEDADO
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City | SAN JUAN
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State | PR
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Zip | 00918-3104
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Country | US
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Telephone | 787-767-8758
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Fax | 787-250-9265
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Provider Business Mailing Address
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Address Line | 110 AVE LOS FILTROS COND PLAZA DE TORRIMAS I. , STE 2102
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City | BAYAREON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-875-3375
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Fax | 787-875-4230
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 13601
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License Number State | PR
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