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General NPI Number Information
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NPI Number | 1568938306
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Entity Type | Individual
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Provider Name | MRS. YADITZA PAREDES
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Gender | Female
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 10/19/2018
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Provider Practice Location Address
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Address Line | 2 CALLE COLON STE 16
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City | AGUADA
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State | PR
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Zip | 00602-3167
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Country | US
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Telephone | 787-589-7468
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Fax | 787-589-7469
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Provider Business Mailing Address
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Address Line | PO BOX 122
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City | SAN ANTONIO
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State | PR
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Zip | 00690-0122
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Country | US
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Telephone |
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 001334
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License Number State | PR
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