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General NPI Number Information
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NPI Number | 1902241169
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Entity Type | Individual
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Provider Name | KRYSTAHL Z. ANDUJAR-RIVERA MD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | POLICLINICA DR LUIS RODRIGUEZ A6 AVE ROBERTO SANCHEZ VILLELA
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City | CAROLINA
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State | PR
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Zip | 00983-0098
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Country | US
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Telephone | 787-752-7897
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Fax | 787-641-4561
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Provider Business Mailing Address
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Address Line | POLICLINICA DR. LUIS RODRIGUEZ AVE. ROBERTO SANCHEZ VILELLA, A6
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City | CAROLINA
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State | PR
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Zip | 00983-4461
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Country | US
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Telephone | 787-752-7897
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 19880
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License Number State | PR
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