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General NPI Number Information
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NPI Number | 1699298992
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Entity Type | Organization
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Legal Business Name | DULCES SUENOS LLC
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 2445 AVENIDA FAGOT
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 787-848-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 2016 CALLE CAUDAL
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City | PONCE
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State | PR
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Zip | 00716
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Country | US
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Telephone | 787-675-2990
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Fax | 787-651-6101
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUIS A BARRANCO
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Credential |
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Telephone | 787-675-2990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 13500
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License Number State | PR
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