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General NPI Number Information
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NPI Number | 1649492976
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Entity Type | Individual
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Provider Name | PEDRO H LOPEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 05/04/2016
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Provider Practice Location Address
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Address Line | CALLE BALDRICH 28500
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City | CAYEY
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State | PR
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Zip | 00736-9470
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Country | US
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Telephone | 787-738-5946
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Fax | 787-738-5946
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Provider Business Mailing Address
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Address Line | CALLE BALDRICH 28500
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City | CAYEY
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State | PR
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Zip | 00736-9470
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Country | US
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Telephone | 787-738-5946
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Fax | 787-738-5946
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 7602
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License Number State | PR
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