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General NPI Number Information
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NPI Number | 1013827955
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Entity Type | Organization
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Legal Business Name | EO NEPHRO LLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | CARR 653 KM 0.5 TORRE MEDICA VILLA LOS SANTOS, SUITE 404
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 787-879-1585
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 945
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City | QUEBRADILLAS
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State | PR
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Zip | 00678-0945
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Country | US
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Telephone | 787-397-7738
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EDILBERTO OCASIO FELICIANO
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Credential | M.D.
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Telephone | 787-397-7738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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