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General NPI Number Information
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NPI Number | 1871559351
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Entity Type | Individual
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Provider Name | MANUEL F. GONZALEZ MELENDEZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 270 CARR 2
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City | HATILLO
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State | PR
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Zip | 00659-2488
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Country | US
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Telephone | 787-820-1667
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Fax | 787-898-5643
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Provider Business Mailing Address
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Address Line | PO BOX 141269
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City | ARECIBO
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State | PR
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Zip | 00614-1269
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Country | US
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Telephone | 787-820-1667
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Fax | 787-898-5643
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 11753
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License Number State | PR
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