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General NPI Number Information
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NPI Number | 1801669213
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Entity Type | Individual
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Provider Name | SUJAILY VISALDEN MD
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Gender | Female
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | URB. DIAZ CALLE 2 B6 GALATEO
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City | TOA ALTA
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State | PR
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Zip | 00954-0095
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Country | US
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Telephone | 787-974-3052
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Fax |
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Provider Business Mailing Address
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Address Line | RR 5 BOX 9015
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City | TOA ALTA
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State | PR
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Zip | 00953-9242
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Country | US
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Telephone | 787-974-3052
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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