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General NPI Number Information
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NPI Number | 1841368594
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Entity Type | Individual
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Provider Name | VIVIAN MARIE ALBINO MD
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Gender | Female
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | AVENIDA FIDALGO DIAZ #4SS2 VILLA FONTANA
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City | CAROLINA
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State | PR
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Zip | 00928
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Country | US
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Telephone | 787-257-2260
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Fax | 787-257-2165
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Provider Business Mailing Address
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Address Line | BEGONIA ST #1794 MANSIONES DE RIO PIEDRAS
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City | RIO PIEDRAS
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-283-3052
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Fax | 787-257-2165
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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 | 12202
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License Number State | PR
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