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General NPI Number Information
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NPI Number | 1194571554
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Entity Type | Organization
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Legal Business Name | DORADO HEALTH DNP
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | METRO OFFICE PARK 7 CALLE 1, STE 204 GUAYNABO, PR 0096
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City | GUAYNABO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 303-829-0170
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Fax |
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Provider Business Mailing Address
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Address Line | METRO OFFICE PARK 7 CALLE 1, STE 204 GUAYNABO, PR 0096
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City | GUAYNABO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 303-829-0170
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BIANCA M MCCLAMMY
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Credential | DNP, APRN
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Telephone | 303-829-0170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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