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General NPI Number Information
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NPI Number | 1548406481
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Entity Type | Individual
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Provider Name | ALFONSO ZERBI-ORTIZ M.D.12
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Gender | Male
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Dates
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Enumeration Date | 12/24/2008
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Last Update Date | 12/24/2008
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Provider Practice Location Address
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Address Line | A2 CALLE MEADOWS SAN PATRICIO MEADOWS
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City | GUAYNABO
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State | PR
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Zip | 00968-3201
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Country | US
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Telephone | 787-783-0367
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Fax | 787-783-0367
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Provider Business Mailing Address
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Address Line | SAN PATRICIO MEADOWS MEADOWS A-2
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City | GUAYNABO
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State | PR
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Zip | 00968
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Country | US
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Telephone | 787-783-0367
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Fax | 787-783-0367
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 1509
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License Number State | PR
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