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General NPI Number Information
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NPI Number | 1609855790
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Entity Type | Individual
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Provider Name | JUAN A ESPIET MIRAY M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | 431 AVE PONCE DE LEON NATIONAL PLAZA SUITE701
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City | SAN JUAN
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State | PR
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Zip | 00917-3418
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Country | US
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Telephone | 787-754-3227
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Fax | 787-766-3236
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Provider Business Mailing Address
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Address Line | 431 AVE PONCE DE LEON NATIONAL PLAZA SUITE701
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City | SAN JUAN
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State | PR
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Zip | 00917-3418
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Country | US
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Telephone | 787-754-3227
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Fax | 787-766-3236
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 6033
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License Number State | PR
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