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General NPI Number Information
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NPI Number | 1760466940
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Entity Type | Individual
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Provider Name | BERNADETTE BARBOSA M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | C/11 BLQ 33 #8 VILLA CAROLINA
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-762-3625
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Fax | 787-701-0859
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Provider Business Mailing Address
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Address Line | 525 CARR 8860 APT. 2647
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-5412
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Country | US
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Telephone | 939-640-5556
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Fax | 787-701-0859
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 13792
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License Number State | PR
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