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General NPI Number Information
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NPI Number | 1316775604
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Entity Type | Organization
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Legal Business Name | DM HEALTH GROUP LLC
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Dates
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Enumeration Date | 07/26/2024
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | CARR 416 KM 6.1
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-252-0762
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Fax | 787-252-0763
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Provider Business Mailing Address
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Address Line | HC 58 BOX 13460
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City | AGUADA
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State | PR
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Zip | 00602-9891
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Country | US
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Telephone | 787-528-1941
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Fax |
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Authorized Official
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Title or Position | OWNER (PHARMACIST)
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Name | DR. DAVID G. GUSTAVO MENDOZA SOTO
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Credential | PHARM D.
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Telephone | 787-252-0762
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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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