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General NPI Number Information
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NPI Number | 1225992712
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Entity Type | Organization
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Legal Business Name | DR BODY TRUTH LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | CALLE 63 #123-1 CENTRO VACUNACION CAROLINA Y DRA LUCY MUNDO
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-238-6916
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Fax |
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Provider Business Mailing Address
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Address Line | 305 AVE LAURO PINERO UNIT 1231
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City | CEIBA
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State | PR
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Zip | 00735-2872
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Country | US
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Telephone | 787-238-6916
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Fax | 787-238-6916
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Authorized Official
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Title or Position | CHIEF EXECUTIVE MANAGER
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Name | DR. KATIA NATASHA MILLER PAGAN
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Credential | MD
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Telephone | 787-238-6916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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