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General NPI Number Information
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NPI Number | 1831181452
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Entity Type | Individual
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Provider Name | RAFAEL DOEL BETANCOURT GARCIA MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 12 AVE PARQUE DE LOS NINOS BOX 164
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City | GUAYNABO
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State | PR
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Zip | 00969-5501
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Country | US
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Telephone | 787-383-6687
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2199
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City | GUAYNABO
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State | PR
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Zip | 00970-2199
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Country | US
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Telephone | 939-717-7007
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 15634
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License Number State | PR
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