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General NPI Number Information
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NPI Number | 1225947294
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Entity Type | Organization
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Legal Business Name | MEDNOVA LLC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 22 CALLE PALMER
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City | CIALES
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State | PR
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Zip | 00638-3233
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Country | US
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Telephone | 787-379-7515
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11
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City | CIALES
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State | PR
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Zip | 00638-0011
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JAVIER PADILLA RIVERA
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Credential | PHARMD
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Telephone | 787-379-7515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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