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General NPI Number Information
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NPI Number | 1396466934
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Entity Type | Organization
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Legal Business Name | ADRIANA MARZAN LOYOLA LLC
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 200 CALLE HERNANDEZ CARRION
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City | MANATI
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State | PR
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Zip | 00674-4652
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Country | US
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Telephone | 787-237-3480
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4062
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City | GUAYNABO
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State | PR
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Zip | 00970-4062
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Country | US
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Telephone | 787-237-3480
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF MEDICINE
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Name | ADRIANA I. MARZAN LOYOLA
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Credential | MD
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Telephone | 787-237-3480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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