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General NPI Number Information
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NPI Number | 1972745297
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Entity Type | Individual
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Provider Name | ANGEL LUIS PEREZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 06/19/2020
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Provider Practice Location Address
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Address Line | 53 AVE BARBOSA
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City | ARECIBO
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State | PR
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Zip | 00612-4329
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Country | US
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Telephone | 787-690-7953
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Fax | 787-680-7848
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Provider Business Mailing Address
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Address Line | 53 AVE BARBOSA
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City | ARECIBO
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State | PR
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Zip | 00612-4329
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Country | US
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Telephone | 787-815-1440
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Fax | 787-815-7953
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 18162
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License Number State | PR
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