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General NPI Number Information
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NPI Number | 1992714133
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Entity Type | Individual
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Provider Name | PEDRO P PAEZ GONZALEZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | ASHFORD MEDICAL CENTER #29 CALLE WASHINGTON SUITE 401
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City | SAN JUAN
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State | PUERTO RICO
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Zip | 00907 1503
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Country | UM
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Telephone | 787-725-8534
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 190464
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City | SAN JUAN
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State | PUERTO RICO
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Zip | 00919 0464
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Country | UM
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Telephone | 787-725-8534
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 8815
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License Number State | PR
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