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General NPI Number Information
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NPI Number | 1326712217
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Entity Type | Organization
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Legal Business Name | MAGNETIC HEALER OF PR, INC
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | PROGRESO STREET #54 CORONA OFFICE PARK
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-564-4358
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8787
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City | SAN JUAN
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State | PR
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Zip | 00910-0787
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Country | US
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Telephone | 787-725-5641
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELBERTO BERDUT
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Credential |
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Telephone | 787-564-4358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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