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General NPI Number Information
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NPI Number | 1972709749
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Entity Type | Individual
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Provider Name | NORBERT J SEDA OLMO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 05/12/2020
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Provider Practice Location Address
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Address Line | POINT LAGOON ESTATES A-10 APT 1012
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City | CAROLINA
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State | PR
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Zip | 00979
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Country | US
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Telephone | 787-983-5074
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Fax | 787-680-0803
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Provider Business Mailing Address
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Address Line | SABANERA DEL RIO CAMINO LOS FRUTALES # 4
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City | GURABO
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State | PR
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Zip | 00778-5229
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Country | US
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Telephone | 787-673-6229
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Fax | 787-687-4606
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 15062
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License Number State | PR
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