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General NPI Number Information
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NPI Number | 1942217104
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Entity Type | Individual
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Provider Name | NELSON GUILBE GASTON MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 08/08/2013
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Provider Practice Location Address
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Address Line | 1785 CARR 21 LAS LOMAS
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City | SAN JUAN
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State | PR
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Zip | 00921-3399
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Country | US
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Telephone | 787-782-8389
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Fax | 787-649-3271
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Provider Business Mailing Address
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Address Line | 35 CALLE JUAN C BORBON STE 67 PMB 342
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City | GUAYNABO
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State | PR
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Zip | 00969-5375
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Country | US
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Telephone | 787-782-8389
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Fax | 787-649-3271
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 12950
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License Number State | PR
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