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General NPI Number Information
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NPI Number | 1891786760
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Entity Type | Individual
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Provider Name | ODALYS MENDOZA VILLAHERMOSA MD
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Gender | Female
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | HIMA PLAZA UNO OFICINA 411
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-743-3886
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Fax | 787-286-5180
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Provider Business Mailing Address
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Address Line | PO BOX 1510
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City | CAGUAS
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State | PR
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Zip | 00727-1510
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Country | US
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Telephone | 787-743-3886
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Fax | 787-286-5180
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 11140
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License Number State | PR
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