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General NPI Number Information
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NPI Number | 1780835744
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Entity Type | Individual
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Provider Name | MILAGROS CRUZ MT
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Gender | Female
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | CARR 455 K2.2 BO. QUEBRADA
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City | CAMUY
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State | PR
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Zip | 00627
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Country | US
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Telephone | 787-898-5665
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Fax | 787-898-5665
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Provider Business Mailing Address
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Address Line | HC 4 BOX 44178
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City | LARES
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State | PR
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Zip | 00669-9444
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Country | US
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Telephone | 787-898-5665
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Fax | 787-898-5665
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 717
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License Number State | PR
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