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General NPI Number Information
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NPI Number | 1558422915
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Entity Type | Individual
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Provider Name | MOISES BENMAMAN GARZON MD
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 525 ROOSVELT AVE SUITE 801 LA TORRE DE PLAZA
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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 | 787-281-0784
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Fax | 787-764-9482
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Provider Business Mailing Address
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Address Line | 2 VILLA ESTE DORADO DEL MAR
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-796-2273
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2656
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License Number State | PR
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