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General NPI Number Information
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NPI Number | 1437577863
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Entity Type | Organization
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Legal Business Name | PRE-VUE
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | CALLE PARANA 1669
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-931-7486
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Fax | 800-507-1075
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Provider Business Mailing Address
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Address Line | HC 02 BOX 8653
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City | YABUCOA
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State | PR
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Zip | 00767
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Country | US
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Telephone | 939-642-0775
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Fax | 180-050-7107
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Authorized Official
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Title or Position | PRESIDENT OF PRE-VUE CORP
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Name | MR. LUIS ANGEL SEPULVEDA SR.
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Credential |
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Telephone | 939-642-0775
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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 |
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License Number State |
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