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General NPI Number Information
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NPI Number | 1235566696
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Entity Type | Organization
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Legal Business Name | MTM MEDICAL SERVICES,P.S.C.
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Dates
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Enumeration Date | 10/01/2013
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | AVE. SANCHEZ VILELLA GO-4B URB.COUNTRY CLUB
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City | CAROLINA
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State | PR
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Zip | 00982
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Country | US
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Telephone | 787-750-0444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19813
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City | SAN JUAN
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State | PR
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Zip | 00910-1813
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Country | US
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Telephone | 787-599-4114
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAYLYNN TOSSAS
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Credential | M.D.
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Telephone | 787-599-4114
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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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