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General NPI Number Information
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NPI Number | 1366739765
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Entity Type | Organization
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Legal Business Name | MUERK INTERNAL MEDICINE GROUP
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 07/06/2011
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Provider Practice Location Address
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Address Line | FAJARDO MEDICAL PLAZA SUITE 108 CALLE UNION ESQ CELIX AGUILARA #10
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 787-860-5450
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Fax | 787-860-5450
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Provider Business Mailing Address
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Address Line | PO BOX 1070
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City | CEIBA
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State | PR
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Zip | 00735-1070
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Country | US
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Telephone | 787-860-5450
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Fax | 787-860-5450
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Authorized Official
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Title or Position | INTERNAL MEDICINE
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Name | DR. JOSE A MUES
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Credential | MD
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Telephone | 787-860-5450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 8420
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License Number State | PR
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