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General NPI Number Information
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NPI Number | 1033975818
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Entity Type | Organization
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Legal Business Name | ULTIMATE CONSULTING LLC
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Dates
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Enumeration Date | 02/28/2024
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 19 CALLE COMERCIO
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City | RINCON
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State | PR
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Zip | 00677-2203
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Country | US
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Telephone | 787-823-1329
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 CALLE ELISEO F GUILLOT
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City | MAYAGUEZ
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State | PR
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Zip | 00682-1167
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Country | US
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Telephone | 215-934-9004
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. LUISA MARIANA LIZARAZO RUEDA
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Credential |
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Telephone | 215-934-9004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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