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General NPI Number Information
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NPI Number | 1396449591
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Entity Type | Organization
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Legal Business Name | DE MUJER A MUJER LLC
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | METRO MEDICAL CENTER 1995, OFICINA 401 B
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City | BAYAMON
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State | PR
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Zip | 00959-0095
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Country | US
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Telephone | 787-753-3412
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Fax |
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Provider Business Mailing Address
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Address Line | RIO HONDO 2 JAJOME ST. AK12
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-360-2973
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SANDRA ENID MARRERO
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Credential | MD
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Telephone | 787-360-2973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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