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General NPI Number Information
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NPI Number | 1053715409
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Entity Type | Organization
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Legal Business Name | BEST VISION, LLC
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 10/14/2014
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Provider Practice Location Address
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Address Line | 410 CALLE MENDEZ VIGO SUITE 104
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City | DORADO
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State | PR
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Zip | 00646-4800
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Country | US
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Telephone | 787-796-4155
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Fax | 787-626-4620
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Provider Business Mailing Address
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Address Line | PO BOX 728
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City | DORADO
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State | PR
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Zip | 00646-0728
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Country | US
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Telephone | 787-796-4155
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Fax | 787-626-4620
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HECTOR M MAYOL
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Credential | M.D.
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Telephone | 787-796-4155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 14577
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License Number State | PR
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