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General NPI Number Information
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NPI Number | 1831221092
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Entity Type | Individual
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Provider Name | LIZAMAR SANJURJO LND
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | URBANIZACION VILLAS DE LOIZA ALTOS FARMACIA MEDINA 2
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City | CANOVANAS
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State | PR
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Zip | 00729
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Country | US
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Telephone | 787-955-3444
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Fax | 787-886-3254
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Provider Business Mailing Address
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Address Line | JARDINES DE RIO GRANDE C 51 BJ 675
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City | RIO GRANDE
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State | PR
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Zip | 00745-2632
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Country | US
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Telephone | 787-955-3444
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Fax | 787-886-3254
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1424
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License Number State | PR
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