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General NPI Number Information
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NPI Number | 1821766833
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Entity Type | Organization
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Legal Business Name | G-ONCO PSC
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Dates
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Enumeration Date | 09/03/2021
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | CONSOLIDATED MALL SUITE 9 AVE. GAUTIER BENITEZ
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City | CAGUAS
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State | PR
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Zip | 00725-0001
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Country | US
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Telephone | 787-743-1010
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6600
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City | CAGUAS
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State | PR
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Zip | 00726-6600
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Country | US
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Telephone | 787-743-1010
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, SECRETARY, TREASURER
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Name | GINES MARTINEZ MANGUAL
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Credential | MD
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Telephone | 787-372-3859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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