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General NPI Number Information
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NPI Number | 1619050911
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Entity Type | Individual
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Provider Name | MARIA MILAGROS PIETRI M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 100 AVE LAUREL URB. SANTA JUANITA
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City | BAYAMON
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State | PR
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Zip | 00956-4816
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Country | US
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Telephone | 787-787-5151
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Fax | 787-787-7979
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Provider Business Mailing Address
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Address Line | 1677 CALLE LILAS URB. SAN FRANCISCO
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City | SAN JUAN
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State | PR
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Zip | 00927-6351
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Country | US
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Telephone | 787-787-5151
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Fax | 787-787-7979
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 8133
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License Number State | PR
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