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General NPI Number Information
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NPI Number | 1851163463
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Entity Type | Individual
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Provider Name | MARCOS ARMANDO PINET OPTICIAN
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Gender | Male
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Dates
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Enumeration Date | 10/26/2023
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | CARRETERA #3 KM 22.5 URB, RIO GRANDE HILLS
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-450-0447
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Fax |
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Provider Business Mailing Address
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Address Line | HC 1 BOX 3801
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City | LOIZA
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State | PR
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Zip | 00772
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Country | US
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Telephone | 787-450-0447
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 746
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License Number State | PR
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