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General NPI Number Information
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NPI Number | 1578741047
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Entity Type | Individual
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Provider Name | JOSE RIOS-ROBLES M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 600 N WOLFE ST MEYER 3-181
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City | BALTIMORE
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State | MD
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Zip | 21287-0005
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Country | US
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Telephone | 443-287-4506
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Fax |
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Provider Business Mailing Address
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Address Line | LA COLINA B-36
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-720-9594
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 22932
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License Number State | MD
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