| NPI,EntityTypeCode,ReplacementNPI,EmployerIdentificationNumberEIN,ProviderOrganizationNameLegalBusinessName,ProviderLastNameLegalName,ProviderFirstName,ProviderMiddleName,ProviderNamePrefixText,ProviderNameSuffixText,ProviderCredentialText,ProviderOtherOrganizationName,ProviderOtherOrganizationNameTypeCode,ProviderOtherLastName,ProviderOtherFirstName,ProviderOtherMiddleName,ProviderOtherNamePrefixText,ProviderOtherNameSuffixText,ProviderOtherCredentialText,ProviderOtherLastNameTypeCode,ProviderFirstLineBusinessMailingAddress,ProviderSecondLineBusinessMailingAddress,ProviderBusinessMailingAddressCityName,ProviderBusinessMailingAddressStateName,ProviderBusinessMailingAddressPostalCode,ProviderBusinessMailingAddressCountryCodeIfoutsideUS,ProviderBusinessMailingAddressTelephoneNumber,ProviderBusinessMailingAddressFaxNumber,ProviderFirstLineBusinessPracticeLocationAddress,ProviderSecondLineBusinessPracticeLocationAddress,ProviderBusinessPracticeLocationAddressCityName,ProviderBusinessPracticeLocationAddressStateName,ProviderBusinessPracticeLocationAddressPostalCode,ProviderBusinessPracticeLocationAddressCountryCodeIfoutsideUS,ProviderBusinessPracticeLocationAddressTelephoneNumber,ProviderBusinessPracticeLocationAddressFaxNumber,ProviderEnumerationDate,LastUpdateDate,NPIDeactivationReasonCode,NPIDeactivationDate,NPIReactivationDate,ProviderGenderCode,AuthorizedOfficialLastName,AuthorizedOfficialFirstName,AuthorizedOfficialMiddleName,AuthorizedOfficialTitleorPosition,AuthorizedOfficialTelephoneNumber,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch,HealthcareProviderTaxonomyCode,ProviderLicenseNumber,ProviderLicenseNumberStateCode,HealthcareProviderPrimaryTaxonomySwitch | |
| 1043322704,1,,,,BOTERO,MARIA,L,,,M.D.,,,,,,,,,,SANTALO 138-142,ESC 2 4TA-1RA,BARCELONA,ES,08021,ES,5743137046,,CRA 31 #17 SUR 61,APT 1003,MEDELLIN,CO,02215,CO,5743137046,,08/31/2006,07/08/2007,,,,F,,,,,,207ZP0101X,217243,MA,,207ZP0101X,217243,MA,,207ZP0101X,217243,MA,,207ZP0101X,217243,MA,,207ZP0101X,217243,MA,,207ZP0101X,217243,MA,,207ZP0101X,217243,MA,,207ZP0101X,217243,MA,,207ZP0101X,217243,MA,,207ZP0101X,217243,MA,,207ZP0101X,217243,MA,,207ZP0101X,217243,MA,,207ZP0101X,217243,MA,,207ZP0101X,217243,MA,,207ZP0101X,217243,MA, | |
| 1700076833,1,,,,PRAT,JAIME,,,,M.D.,,,,,,,,,,DEPT PATHOL HOSP ST. PAU,PADRE CLARET 167,BARCELONA,ES,08025,ES,3493291902,,DEPT PATHOL HOSP ST PAU,PADRE CLARET 167,BARCELONA,ES,08025,ES,3493291902,,07/25/2007,07/25/2007,,,,M,,,,,,207ZP0101X,39527,MA,,207ZP0101X,39527,MA,,207ZP0101X,39527,MA,,207ZP0101X,39527,MA,,207ZP0101X,39527,MA,,207ZP0101X,39527,MA,,207ZP0101X,39527,MA,,207ZP0101X,39527,MA,,207ZP0101X,39527,MA,,207ZP0101X,39527,MA,,207ZP0101X,39527,MA,,207ZP0101X,39527,MA,,207ZP0101X,39527,MA,,207ZP0101X,39527,MA,,207ZP0101X,39527,MA, | |