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General NPI Number Information
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NPI Number | 1821147448
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Entity Type | Individual
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Provider Name | ANANSKA M CARLO MD
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8 AVE LUIS MUNOZ MARIN
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City | HORMIGUEROS
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State | PR
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Zip | 00660-1722
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Country | US
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Telephone | 787-849-4868
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Fax |
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Provider Business Mailing Address
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Address Line | 64 CALLE MALAGA URB SULTANA
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City | MAYAGUEZ
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State | PR
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Zip | 00680-1433
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Country | US
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Telephone | 787-849-4868
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 14331
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License Number State | PR
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