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General NPI Number Information
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NPI Number | 1326497702
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Entity Type | Organization
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Legal Business Name | TU NUTRICION CORPORATION
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 1300 CALLE ATENAS SUITE 209
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City | SAN JUAN
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State | PR
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Zip | 00926-7807
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Country | US
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Telephone | 787-396-1916
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Fax |
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Provider Business Mailing Address
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Address Line | 138 AVE WINSTON CHURCHILL PMB 323
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-396-1916
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRISTINA BEATRIZ MUNOZ
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Credential | LND
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Telephone | 787-396-1916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 1457
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License Number State | PR
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