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General NPI Number Information
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NPI Number | 1841728375
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Entity Type | Individual
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Provider Name | MARIMAR TORRES BARRETO OD
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Gender | Female
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Dates
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Enumeration Date | 05/29/2017
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1900 AVE J T PINRO
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City | SAN JUAN
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State | PR
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Zip | 00921-1102
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Country | US
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Telephone | 787-782-2175
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Fax | 787-775-4098
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Provider Business Mailing Address
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Address Line | CALLE 1 H-13 RIVERSIDE PARK
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-379-6680
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 731-0419
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License Number State | PR
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