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General NPI Number Information
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NPI Number | 1609505502
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Entity Type | Organization
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Legal Business Name | PAGAN & SEGARRA HEALTH LLC
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 1910 AVE. LAS AMERICAS URB. SAN ANTONIO
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City | PONCE
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State | PR
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Zip | 00731
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Country | US
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Telephone | 787-445-8718
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 477 PO BOX 7105
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City | PONCE
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State | PR
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Zip | 00732
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Country | US
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Telephone | 787-445-8718
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | NILMARIS SEGARRA
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Credential | MD
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Telephone | 787-901-5473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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