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General NPI Number Information
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NPI Number | 1457343238
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Entity Type | Organization
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Legal Business Name | NUTRITION CARE, INC.
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 114 CALLE ELEANOR ROOSEVELT URB. EL VEDADO, 1ST FLOOR
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City | SAN JUAN
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State | PR
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Zip | 00918-3105
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Country | US
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Telephone | 787-778-5449
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Fax | 787-780-7475
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Provider Business Mailing Address
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Address Line | 114 CALLE ELEANOR ROOSEVELT, URB. EL VEDADO, 1ST FLOOR
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City | SAN JUAN
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State | PR
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Zip | 00918-3105
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Country | US
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Telephone | 787-778-5449
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Fax | 787-780-7475
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TANIA E CONDE
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Credential |
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Telephone | 787-778-5449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 1252490001
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License Number State | PR
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