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General NPI Number Information
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NPI Number | 1770897456
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Entity Type | Organization
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Legal Business Name | JAVIER DELGADO CANDELARIO, MD, PSC
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 20 URB COSTA VERDE PALMAS DEL MAR
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City | HUMACAO
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State | PR
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Zip | 00791-6036
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Country | US
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Telephone | 787-234-4315
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10068
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City | HUMACAO
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State | PR
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Zip | 00792-1120
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAVIER DELGADO
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Credential | MD
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Telephone | 787-234-4315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 16674
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License Number State | PR
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