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General NPI Number Information
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NPI Number | 1548590870
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Entity Type | Organization
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Legal Business Name | INTERGYN PSC
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Dates
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Enumeration Date | 01/08/2010
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Last Update Date | 01/08/2010
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Provider Practice Location Address
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Address Line | LOS COLOBOS SHPG. CTR. ,65 INFT. AVE. KM.17 CINEMA BLDG. SUITE 205
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-701-1377
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Fax | 787-776-0231
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Provider Business Mailing Address
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Address Line | LOS COLOBOS SHPG. CTR. CINEMA BLDG. SUITE 205
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-701-1377
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Fax | 787-776-0231
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ORLANDO CAMPOAMOR
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Credential | MD
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Telephone | 787-701-1377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 6900
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License Number State | PR
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