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General NPI Number Information
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NPI Number | 1861032104
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Entity Type | Organization
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Legal Business Name | GYNECOLOGY & ENDOMETRIOSIS CENTER LLC
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | CALLE DEL PARQUE 607A
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City | SAN JUAN
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State | PR
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Zip | 00909
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Country | US
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Telephone | 787-982-0088
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Fax | 787-982-0091
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Provider Business Mailing Address
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Address Line | PO BOX 19450
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City | SAN JUAN
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State | PR
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Zip | 00910
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Country | US
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Telephone | 787-982-0088
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Fax | 787-982-0091
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Authorized Official
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Title or Position | PRES
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Name | JUAN L SALGADO
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Credential | MD
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Telephone | 787-509-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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