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General NPI Number Information
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NPI Number | 1730312521
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Entity Type | Individual
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Provider Name | ANGEL J. LOPEZ-GARIB MD
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Gender | Male
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 01/27/2017
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Provider Practice Location Address
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Address Line | CARR 2 KM 173 HOSPITAL DE LA CONCEPCION
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City | SAN GERMAN
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State | PR
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Zip | 00683
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Country | US
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Telephone | 787-602-1729
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Fax |
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Provider Business Mailing Address
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Address Line | CARR 2 KM 173 HOSPITAL DE LA CONCEPCION
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City | SAN GERMAN
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State | PR
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Zip | 00683
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD454666
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 19506
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License Number State | PR
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