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General NPI Number Information
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NPI Number | 1811955784
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Entity Type | Individual
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Provider Name | SAMUEL SUAREZ BAEZ MD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | ASHFORD AVE 29 WASHINGTON ASHFORD MEDICAL CENTER STE 403
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City | SAN JUAN
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State | PR
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Zip | 00907-1521
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Country | US
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Telephone | 787-721-6883
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Fax | 787-723-3808
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Provider Business Mailing Address
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Address Line | PO BOX 8700 PMB 522
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City | CAROLINA
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State | PR
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Zip | 00988
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Country | US
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Telephone | 787-721-6883
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Fax | 787-723-3808
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 12675
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License Number State | PR
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