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General NPI Number Information
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NPI Number | 1528224938
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Entity Type | Organization
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Legal Business Name | VISION 4 YOU CLINICA VISUAL DRA. FELICIANO CSP
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 02/02/2015
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Provider Practice Location Address
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Address Line | 809 CARR. 153 STE 7 LOCAL PLAZA BO. PASO SECO
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-845-5278
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Fax | 787-558-7034
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Provider Business Mailing Address
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Address Line | CALLE LOIRE # 43 VILLA SERENA
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-845-5278
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Fax | 787-558-7034
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. HELBERT ROMAN
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Credential |
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Telephone | 787-402-1906
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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 | 295-003
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 295003
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License Number State | PR
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