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General NPI Number Information
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NPI Number | 1801900758
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Entity Type | Individual
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Provider Name | VIOLA NUNEZ-RIOS M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 05/15/2018
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Provider Practice Location Address
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Address Line | 400 AVE DOMENECH STE 511B
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-510-4221
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Fax |
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Provider Business Mailing Address
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Address Line | 2307 E 18TH ST
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City | AUSTIN
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State | TX
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Zip | 78702-1411
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Country | US
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Telephone | 512-422-4311
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 11414
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License Number State | PR
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