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General NPI Number Information
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NPI Number | 1730221474
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Entity Type | Individual
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Provider Name | SAMADYS N DUCOUDRAY M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | HOSPITAL HIMA SUITE 133 LUIS MNOZ MARIN AVENUE
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-744-5208
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Fax | 787-744-5208
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Provider Business Mailing Address
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Address Line | PO BOX 7738
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City | CAGUAS
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State | PR
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Zip | 00726-7738
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Country | US
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Telephone | 787-744-5208
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Fax | 787-744-5208
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 12149
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License Number State | PR
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