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General NPI Number Information
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NPI Number | 1508649963
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Entity Type | Organization
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Legal Business Name | MOST VALUABLE ORTHOPEDICS PROSTHETIC, LLC
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 204 CALLE GUAYAMA
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City | SAN JUAN
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State | PR
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Zip | 00917-4203
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Country | US
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Telephone | 939-610-7535
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 124 UU-1 CALLE 39 SANTA JUANITA
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-415-4216
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | IVAN JADIEL SEPULVEDA
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Credential |
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Telephone | 939-610-3575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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