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General NPI Number Information
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NPI Number | 1437633922
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Entity Type | Organization
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Legal Business Name | MEDICAL ULTRASOUND AND RESEARCH GROUP, CORP
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 09/20/2018
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Provider Practice Location Address
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Address Line | URB VILLA PRADES 708 CALLE JULIO ANDINO
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City | SAN JUAN
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State | PR
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Zip | 00929
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Country | US
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Telephone | 939-250-3626
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Fax |
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Provider Business Mailing Address
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Address Line | MEDICAL ULTRASOUND AND RESEARCH GROUP CORP PO BOX 24792
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City | SAN JUAN
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State | PR
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Zip | 00929
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Country | US
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Telephone | 939-250-3626
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Fax |
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Authorized Official
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Title or Position | ADMINISTRADOR
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Name | JOSE PAGAN DOMINGUEZ JR.
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Credential |
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Telephone | 393-250-3626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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