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General NPI Number Information
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NPI Number | 1720958754
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Entity Type | Individual
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Provider Name | PAOLA C GUZMAN SANTIAGO OD
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Gender | Female
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 11310 AVE 65 INFANTERIA # KM12.3
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City | CAROLINA
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State | PR
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Zip | 00987-8797
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Country | US
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Telephone | 787-769-2477
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Fax |
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Provider Business Mailing Address
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Address Line | 185 CALLE COSTA RICA APT 803
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City | SAN JUAN
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State | PR
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Zip | 00917-2542
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Country | US
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Telephone | 224-715-1989
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 786
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License Number State | PR
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