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General NPI Number Information
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NPI Number | 1700468584
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Entity Type | Organization
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Legal Business Name | AGOSTO ENDOCRINOLOGY
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | CDT CANOVANAS CALLE CORCHADO FINAL
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City | CANOVANAS
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State | PR
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Zip | 00729-2003
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Country | US
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Telephone | 787-876-5494
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Fax | 787-905-7908
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Provider Business Mailing Address
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Address Line | 75 CALLE EUSEBIO ITURRINO
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City | CANOVANAS
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State | PR
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Zip | 00729-3221
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Country | US
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Telephone | 787-876-5494
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Fax | 787-905-7908
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANARDI AUGUSTO AGOSTO MUJICA
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Credential | MD
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Telephone | 787-876-5494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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