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General NPI Number Information
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NPI Number | 1740867639
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Entity Type | Organization
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Legal Business Name | YADIRA MENDEZ FELICIANO OBGYN LLC
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 917 AVE TITO CASTRO CLINICAS EXTERNAS MULTIPLICINARIAS HOSPITAL EPISCOPAL SAN LUCAS
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City | PONCE
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State | PR
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Zip | 00716
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Country | US
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Telephone | 787-236-0628
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1359
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City | AGUADA
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State | PR
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Zip | 00602-1359
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Country | US
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Telephone | 787-236-0628
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YADIRA MENDEZ FELICIANO
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Credential | MD
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Telephone | 787-236-0628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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