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General NPI Number Information
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NPI Number | 1497913354
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Entity Type | Organization
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Legal Business Name | EMPRESAS ROBLES INC
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | SAN FERNANDO E-18 AVE HERMANAS DAVILA
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City | BAYAMON
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State | PR
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Zip | 00957-1769
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Country | US
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Telephone | 787-787-4036
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Fax | 787-780-2118
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Provider Business Mailing Address
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Address Line | PO BOX 3423 BAYAMON GARDENS STA
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City | BAYAMON
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State | PR
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Zip | 00958-0423
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Country | US
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Telephone | 787-787-4036
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Fax | 787-780-2118
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Authorized Official
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Title or Position | VP
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Name | DR. MARIA L ROBLES
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Credential | O.D.
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Telephone | 787-787-4036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | PR 095-050
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License Number State | PR
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