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General NPI Number Information
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NPI Number | 1548889157
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Entity Type | Individual
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Provider Name | ALFREDO RAMON MAYORCA MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2020
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Last Update Date | 04/14/2020
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Provider Practice Location Address
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Address Line | URBANIZACION EL PLANTIO CALLE MAJAGUA A-130
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 561-618-2602
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Fax |
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Provider Business Mailing Address
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Address Line | URBANIZACION EL PLANTIO CALLE MAJAGUA A-130
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 561-618-2602
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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 | NJDCATEMP-005167
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License Number State | NJ
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