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General NPI Number Information
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NPI Number | 1821126095
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Entity Type | Individual
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Provider Name | JOSE R DIAZ-CORREA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | TORRE SAN FRANCISCO SUITE 210 369 DE DIEGO ST.
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City | SAN JUAN
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State | PR
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Zip | 00923
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Country | US
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Telephone | 787-758-3970
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Fax | 787-756-8814
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Provider Business Mailing Address
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Address Line | Y9 CALLE 8 URB. MONTECARLO
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City | SAN JUAN
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State | PR
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Zip | 00924-5267
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Country | US
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Telephone | 787-257-7477
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Fax | 787-756-8814
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 7182
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License Number State | PR
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