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General NPI Number Information
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NPI Number | 1669784245
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Entity Type | Organization
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Legal Business Name | CAPITAL OB-GYN GROUP, P.S.C.
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | SAN JUAN HOSPITAL RIO PIEDRAS
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City | SAN JUAN
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State | PR
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Zip | 00928
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Country | US
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Telephone | 787-767-3733
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10255 CAPARRA HEIGHT STATION
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City | SAN JUAN
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State | PR
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Zip | 00922-0255
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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 | PRESIDENT
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Name | DR. AMAURY LLORENS
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Credential | M.D.
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Telephone | 787-910-1555
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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 | 13371
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License Number State | PR
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