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General NPI Number Information
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NPI Number | 1952110314
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Entity Type | Individual
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Provider Name | ARNALDO DAVID LEBRON SEGUI MD
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Gender | Male
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | CARR 876 ESQUINA CLL ANICETO DIAZ A3 URB. GOLDEN HILL
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976
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Country | US
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Telephone | 787-589-0003
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Fax |
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Provider Business Mailing Address
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Address Line | HJ-3 EDUARDO FRANKLIN ST
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 939-254-4205
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 476PA
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License Number State | PR
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