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General NPI Number Information
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NPI Number | 1497959308
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Entity Type | Individual
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Provider Name | DIANA RODRIGUEZ-CRUZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | GA13 CALLE PALMA SOLA GARDEN HILLS
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City | GUAYNABO
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State | PR
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Zip | 00966-2920
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Country | US
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Telephone | 787-783-8343
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Fax | 787-884-5320
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Provider Business Mailing Address
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Address Line | PO BOX 1150
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City | MANATI
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State | PR
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Zip | 00674-1150
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Country | US
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Telephone | 787-783-8343
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Fax | 787-884-5320
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 6349
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License Number State | PR
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