Individual Professional Information |
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NPI
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1922255876
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Unique healthcare provider (clinician) ID assigned by NPPES
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PECOS UID
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2163679242
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Unique individual clinician ID assigned by PECOS
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Professional Enrollment ID
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I20120824000050
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Unique ID for the individual professional enrollment that is the source for the data in the observation
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Provider Last Name
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CASTRO VELEZ
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Individual professional last name
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Provider First Name
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LUIS
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Individual professional first name
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Provider Middle Name
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AMAURY
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Individual professional middle name
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Provider Gender
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M
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The provider's gender if the provider is a person.
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Practice Information |
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Line 1 Street Address
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CENTRO INTERNACIONAL DE MERCADEO
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Group Practice or individual's line 1 address
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Line 2 Street Address
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SUITE 303 AVE. LOS CANOS EXQ 28 KM 0.0
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Group Practice or individual's line 2 address
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City
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GUAYNABO
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Group Practice or individual's city
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State
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PR
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Group Practice or individual's state
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Zip Code
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009680001
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Group Practice or individual's zip code (9 digits when available)
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Phone Number
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7872770847
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Phone number is listed only when there is a single phone number available for the practice location address
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