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General NPI Number Information
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NPI Number | 1508328626
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Entity Type | Organization
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Legal Business Name | P R OCULAR SOLUTIONS LLC
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Dates
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Enumeration Date | 04/05/2019
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Last Update Date | 04/05/2019
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Provider Practice Location Address
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Address Line | 1250 AVE PONCE DE LEON # OF1009
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City | SAN JUAN
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State | PR
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Zip | 00907-3949
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Country | US
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Telephone | 787-908-9612
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Fax | 787-725-8485
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Provider Business Mailing Address
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Address Line | 1250 AVE PONCE DE LEON # OF1009
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City | SAN JUAN
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State | PR
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Zip | 00907-3949
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Country | US
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Telephone | 787-908-9612
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Fax | 787-725-8485
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Authorized Official
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Title or Position | CPA
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Name | NESTOR W CARPENZANO
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Credential | CPA
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Telephone | 787-908-9612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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