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General NPI Number Information
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NPI Number | 1528021011
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Entity Type | Individual
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Provider Name | ALEXIS JUAN BAYO MCGRATH JR. MD, FACEP
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Gender | Male
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | SALA DE EMERGENICAS CARRETERA 22 BARRIO MONACILLOS ADMINISTRACION DE SERVICIOS MEDICOS
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City | SAN JUAN
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State | PR
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Zip | 00935-0001
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Country | US
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Telephone | 787-777-3708
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Fax |
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Provider Business Mailing Address
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Address Line | VILLA DE SAN FRANCISCO PLZ APT 912-I
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City | SAN JUAN
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State | PR
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Zip | 00927-6349
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Country | US
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Telephone | 787-764-7672
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 11938
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License Number State | PR
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