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General NPI Number Information
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NPI Number | 1922301977
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Entity Type | Individual
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Provider Name | AUGUSTO E CARRION O.D.
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Gender | Male
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 232 ROBLE STREET
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City | VEGA ALTA
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State | PR
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Zip | 00692-0000
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Country | US
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Telephone | 787-390-6337
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 7595
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City | SAN JUAN
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State | PR
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Zip | 00916-0000
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Country | US
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Telephone | 787-390-6337
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 681
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 681
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 681
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License Number State | PR
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