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General NPI Number Information
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NPI Number | 1558049031
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Entity Type | Organization
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Legal Business Name | GYNECO MD, PSC
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | BAYAMON MEDICAL PLAZA 1845 CARR 2 STE 508
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City | BAYAMON
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State | PR
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Zip | 00959-7204
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Country | US
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Telephone | 787-798-5323
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8367
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City | BAYAMON
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State | PR
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Zip | 00960-8367
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Country | US
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Telephone | 787-242-1628
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Fax |
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Authorized Official
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Title or Position | OBSTETRICS AND GYNECOLOGY
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Name | DR. LAURA PATRICIA SEDA RODRIGUEZ
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Credential | MD
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Telephone | 787-242-1628
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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 |
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License Number State |
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