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General NPI Number Information
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NPI Number | 1811598352
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Entity Type | Organization
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Legal Business Name | OJO BAHIA INC
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 501 AVE ANDALUCIA
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City | SAN JUAN
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State | PR
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Zip | 00920-4173
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Country | US
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Telephone | 787-231-9318
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Fax |
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Provider Business Mailing Address
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Address Line | ATLANTIC VIEW COURT 2900 CARR 686 APT 606
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-231-9318
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHIA P CALCADOR
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Credential |
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Telephone | 787-223-0981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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