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General NPI Number Information
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NPI Number | 1760897664
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Entity Type | Individual
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Provider Name | ABBY J. AGOSTO-VENTURA MD
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Gender | Female
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | CENTRO GINECO-OBSTETRICO F7 AVE. DEGETAU
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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 | 787-746-2880
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 262023
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City | SAN JUAN
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State | PR
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Zip | 00926-2650
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Country | US
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Telephone | 787-746-2880
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 19905
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License Number State | PR
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