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General NPI Number Information
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NPI Number | 1629496534
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Entity Type | Individual
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Provider Name | OSCAR WILLIAM NEVAREZ-POMALES MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2014
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | ZONA INDUSTRIAL VICTOR ROJAS 2 CARR 129
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City | ARECIBO
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State | PR
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Zip | 00613-0000
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Country | US
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Telephone | 787-385-5320
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Fax |
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Provider Business Mailing Address
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Address Line | 23 CALLE EMILIA
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City | GUAYNABO
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State | PR
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Zip | 00966-3956
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Country | US
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Telephone |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 19377
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License Number State | PR
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