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NPI 1508417692

NPI 1508417692 : OLGA I ZAMBRANA : GUAYNABO, PR

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General NPI Number Information
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    NPI Number           |    1508417692
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    Entity Type          |    Individual 
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    Provider Name        |    OLGA I ZAMBRANA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/20/2019
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    Last Update Date     |    09/20/2019
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Provider Practice Location Address
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    Address Line         |    GRANADA PARK 10B 100 CALLE MARGINAL APT.362
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    City                 |    GUAYNABO
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    State                |    PR
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    Zip                  |    00969
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    Country              |    US
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    Telephone            |    787-922-0971
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    362 GRANADA PARK 100 CALLE MARGINAL
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    City                 |    GUAYNABO
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    State                |    PR
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    Zip                  |    00969
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    Country              |    US
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    Telephone            |    787-922-0971
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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        |    3747A0650X
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    Taxonomy Name        |    Attendant Care Provider
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    License Number       |    
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    License Number State |    
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