{
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "MVN INC",
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"NamePrefix": null,
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"Credential": null,
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"FirstLineMailingAddress": "PO BOX 9663",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TAMUNING",
"MailingAddressStateName": "GU",
"MailingAddressPostalCode": "96931-5663",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "670-323-6870",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "BRI BUILDING KOPA DI ORU ST. GARAPAN,",
"SecondLinePracticeLocationAddress": "SUITE 102",
"PracticeLocationAddressCityName": "SAIPAN",
"PracticeLocationAddressStateName": "MP",
"PracticeLocationAddressPostalCode": "96950",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "670-323-6870",
"PracticeLocationAddressFaxNumber": "670-323-8741",
"EnumerationDate": "02/07/2008",
"LastUpdateDate": "06/12/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RAMOS",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "671-688-4421",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": "17292",
"LicenseNumberStateCode": "MP",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}