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General NPI Number Information
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NPI Number | 1730536970
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Entity Type | Individual
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Provider Name | CARMEN M CRESPO MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 36 CALLE NEVAREZ APART 6A
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City | SAN JUAN
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State | PR
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Zip | 00927-4500
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Country | US
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Telephone | 787-464-1145
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Fax |
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Provider Business Mailing Address
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Address Line | 300 CALLE POSEIDON
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City | GUAYAMA
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State | PR
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Zip | 00784-6636
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Country | US
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Telephone | 787-464-1145
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 19993
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License Number State | PR
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