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General NPI Number Information
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NPI Number | 1518442045
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Entity Type | Organization
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Legal Business Name | PAULING FIRM INC
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Dates
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Enumeration Date | 10/01/2018
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | CARR 3 KM 19.9 EDIF EAST MEDICAL PROFESSIONAL CENTER
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City | CANOVANAS
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State | PR
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Zip | 00729
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Country | US
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Telephone | 787-256-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 CALLE CORAL, COND LAGO PLAYA APTO 3012, LEVITTOWN
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-256-6060
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Fax |
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Authorized Official
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Title or Position | OPTOMETRY / PROPRIETOR
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Name | FIDEL J RODRIGUEZ CRUZ
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Credential | OD
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Telephone | 787-425-7717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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