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General NPI Number Information
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NPI Number | 1912052077
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Entity Type | Individual
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Provider Name | JOSE GERARDO MELENDEZ-NEGRON OD
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | KM 167.4 CARRETERA 2 BARRIO LAVADERO
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City | HORMIGUEROS
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State | PR
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Zip | 00660
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Country | US
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Telephone | 787-849-2936
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Fax | 787-849-2936
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Provider Business Mailing Address
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Address Line | PO BOX 880
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City | HORMIGUEROS
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State | PR
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Zip | 00660-0880
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Country | US
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Telephone | 787-849-2936
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Fax | 787-849-2936
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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 | 376
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License Number State | PR
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