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General NPI Number Information
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NPI Number | 1770691677
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Entity Type | Individual
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Provider Name | BARBARA MAESTRE M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 255 DOMENECH AVENUE
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City | SAN JUAN
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State | PR
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Zip | 00918-0000
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Country | US
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Telephone | 787-758-7836
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Fax |
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Provider Business Mailing Address
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Address Line | 255 AVE DOMENECH
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City | SAN JUAN
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State | PR
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Zip | 00918-3510
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Country | US
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Telephone | 787-758-7836
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 6686
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License Number State | PR
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