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General NPI Number Information
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NPI Number | 1457655870
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Entity Type | Organization
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Legal Business Name | MEDICAL DOCTORS WITH ALTERNATIVE THERAPIES, PSC
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Dates
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Enumeration Date | 12/28/2010
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Last Update Date | 12/28/2010
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Provider Practice Location Address
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Address Line | MARGINAL MARTINEZ NADAL 559 MARGINAL HILL SIDE
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City | GUAYNABO
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State | PR
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Zip | 00920
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Country | US
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Telephone | 787-701-4938
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Fax |
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Provider Business Mailing Address
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Address Line | 877 AVE CAMPO RICO
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-701-4938
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LILIA OTERO
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Credential |
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Telephone | 787-701-4938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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