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General NPI Number Information
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NPI Number | 1447866884
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Entity Type | Individual
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Provider Name | EFRAIN C. MARRERO ALVIRA MD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2020
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | URB COLINAS DE LUQUILLO, CALLE 4 - CASA 74
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City | LUQUILLO
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State | PR
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Zip | 00773
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Country | US
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Telephone | 787-955-9181
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 814
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City | LUQUILLO
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State | PR
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Zip | 00773-0814
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Country | US
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Telephone | 787-955-9181
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 21994
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License Number State | PR
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