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General NPI Number Information
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NPI Number | 1558019075
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Entity Type | Organization
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Legal Business Name | ALPHATECH PUERTO RICO LLC
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Dates
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Enumeration Date | 03/14/2022
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | PLAZA 65 SHOPPING CENTER #27 AVE 65 INFANTERIA PR-3
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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 | 787-810-5024
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Fax |
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Provider Business Mailing Address
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Address Line | 1353 AVE LUIS VIGOREAUX PMB 473
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SALES REPRESENTATIVE
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Name | MRS. MARLENE CENTENO
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Credential |
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Telephone | 787-810-5024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 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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