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General NPI Number Information
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NPI Number | 1578731774
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Entity Type | Organization
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Legal Business Name | MANUEL PUIG-LLANO, M.D.,INC.
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 276 CHURCH AVE STE E
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City | CHULA VISTA
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State | CA
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Zip | 91910-2729
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Country | US
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Telephone | 619-585-7229
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Fax | 619-585-9603
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Provider Business Mailing Address
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Address Line | 276 CHURCH AVE STE E
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City | CHULA VISTA
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State | CA
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Zip | 91910-2729
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Country | US
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Telephone | 619-585-7229
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Fax | 619-585-9603
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MANUEL PUIG-LLANO
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Credential | M.D.
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Telephone | 619-585-7229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A40586
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License Number State | CA
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