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General NPI Number Information
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NPI Number | 1548244155
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Entity Type | Individual
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Provider Name | ENRIQUE CARRION-VARGAS MD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 03/21/2013
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Provider Practice Location Address
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Address Line | HOSPITAL PEDIATRICO UNIVERSITARIO DEPARTAMENTO DE PEDIATRIA
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City | SAN JUAN
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State | PR
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Zip | 00936-5067
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Country | US
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Telephone | 787-777-3535
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Fax |
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Provider Business Mailing Address
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Address Line | 216 CALLE METIS PASEO DEL SOL
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City | DORADO
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State | PR
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Zip | 00646-4619
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Country | US
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Telephone |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 12204
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 12204
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 12204
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License Number State | PR
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