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General NPI Number Information
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NPI Number | 1790343994
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Entity Type | Organization
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Legal Business Name | OFICINA MEDICA DR. EDGARDO PRIETO AGOSTINI, CSP
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | AVE JOSE MERCADO ESQ CRISTOBAL COLON EDIF SAN JUAN C
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City | CAGUAS
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State | PR
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Zip | 00727
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Country | US
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Telephone | 787-747-9000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1600
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City | CIDRA
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State | PR
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Zip | 00739-1600
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Country | US
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Telephone | 787-747-9000
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC
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Name | DR. EDGARDO PRIETO AGOSTINI
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Credential | MD
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Telephone | 787-747-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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