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General NPI Number Information
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NPI Number | 1538295191
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Entity Type | Individual
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Provider Name | CARLOS R. BONET RFO
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | STREET #115 KM 12.0 SUITE #7
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City | RINCON
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State | PR
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Zip | 00677-0356
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Country | US
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Telephone | 787-823-5917
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Fax | 787-823-3570
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Provider Business Mailing Address
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Address Line | PO BOX 356 CARR. 115 KM 12.0
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City | RINCON
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State | PR
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Zip | 00677-0356
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Country | US
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Telephone | 787-823-5917
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Fax | 787-823-3570
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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 | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 07P1793
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License Number State | PR
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