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General NPI Number Information
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NPI Number | 1497873491
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Entity Type | Individual
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Provider Name | GLADYS AMELY RAMOS-MALDONADO
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 311 AVE DOMENECH
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City | SAN JUAN
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State | PR
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Zip | 00918-3511
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Country | US
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Telephone | 787-756-8370
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Fax |
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Provider Business Mailing Address
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Address Line | 690 CALLE CESAR GONZALEZ APT 907 COND PARQUE DE LAS FUENTES
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City | SAN JUAN
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State | PR
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Zip | 00918-3909
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Country | US
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Telephone | 787-756-8370
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Fax |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 16708
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 16708
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License Number State | PA
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