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General NPI Number Information
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NPI Number | 1699091462
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Entity Type | Organization
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Legal Business Name | SENORIAL OBGYN
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 200 AVE WINSTON CHURCHILL SUITE 406
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City | SAN JUAN
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State | PR
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Zip | 00926-6651
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Country | US
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Telephone | 787-753-4198
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Fax |
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Provider Business Mailing Address
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Address Line | 200 AVE WINSTON CHURCHILL SUITE 406
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City | SAN JUAN
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State | PR
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Zip | 00926-6651
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Country | US
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Telephone | 787-753-4198
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. SHEILA MICHELLE ASHBY
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Credential | MD
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Telephone | 787-753-4198
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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 |
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License Number State |
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