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General NPI Number Information
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NPI Number | 1629161682
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Entity Type | Individual
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Provider Name | DORA DE LOURDES DONATE-PEREZ M.D,
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 65TH INFANTRY AVE UPR HOSPITAL
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City | CAROLINA
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State | PR
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Zip | 00983
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Country | US
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Telephone | 787-757-1800
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Fax | 787-701-4490
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Provider Business Mailing Address
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Address Line | 600 AVE JESUS T PINERO APT 901 PARQUE DE LOYOLA NORTH COND.
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City | SAN JUAN
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State | PR
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Zip | 00918-4064
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Country | US
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Telephone | 787-757-1800
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Fax | 787-701-4490
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 10697
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License Number State | PR
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