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General NPI Number Information
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NPI Number | 1982610697
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Entity Type | Individual
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Provider Name | YANESA M PEREZ BERRIOS MD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 11/12/2010
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Provider Practice Location Address
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Address Line | 200 AVE WINSTON CHURCHILL W CHURCHILL 2000 BLDG OF 201
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City | RIO PIEDRAS
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State | PR
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Zip | 00926-6651
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Country | US
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Telephone | 787-765-1039
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Fax | 787-765-6197
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Provider Business Mailing Address
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Address Line | PO BOX 7886 PMB 367
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City | GUAYNABO
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State | PR
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Zip | 00970-7886
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Country | US
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Telephone | 787-765-1039
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Fax | 787-765-6197
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 11506
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License Number State | PR
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