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General NPI Number Information
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NPI Number | 1538732292
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Entity Type | Organization
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Legal Business Name | CR ENDOCRINOLOGY LLC
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Dates
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Enumeration Date | 07/21/2021
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | CARRETERA 172 DE CAGUAS A CIDRA, URB TURABO GARDENS
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-615-6963
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Fax |
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Provider Business Mailing Address
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Address Line | JOSE OLIVER ST. NEW CENTER PLAZA #1405
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-615-6963
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Fax |
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Authorized Official
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Title or Position | MD
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Name | MRS. NICOLLE MARIE CANALES RAMOS
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Credential | MD
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Telephone | 787-615-6963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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