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General NPI Number Information
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NPI Number | 1558479030
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Entity Type | Individual
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Provider Name | VERONICA M. CZERNIAK-TORRES O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 530 CALLE BESOSA DOMENECH AVE.
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City | SAN JUAN
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State | PR
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Zip | 00918-2851
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Country | US
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Telephone | 787-763-6581
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Fax | 787-763-6581
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Provider Business Mailing Address
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Address Line | 704 VALLE DE COLLORES CAMPOS DE MONTEHIEDRA
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City | SAN JUAN
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State | PR
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Zip | 00926-7019
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Country | US
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Telephone | 787-790-4969
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Fax | 787-763-6581
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 604
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License Number State | PR
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