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General NPI Number Information
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NPI Number | 1336386515
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Entity Type | Organization
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Legal Business Name | EAST A. MERE, MD C.S.P.
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Dates
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Enumeration Date | 01/09/2009
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Last Update Date | 01/09/2009
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Provider Practice Location Address
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Address Line | 445 CESAR GONZALEZ URB. ROOSEVELT
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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 | 787-767-2177
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Fax | 787-766-0534
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Provider Business Mailing Address
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Address Line | 445 CESAR GONZALEZ URB. ROOSEVELT
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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 | 787-767-2177
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Fax | 787-766-0534
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EAST A. MERE
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Credential | MD
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Telephone | 787-767-2131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 11422
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License Number State | PR
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