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General NPI Number Information
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NPI Number | 1578309829
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Entity Type | Organization
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Legal Business Name | CPM NEPHROLOGY LLC
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Dates
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Enumeration Date | 07/06/2024
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 18 AVE SEVERIANO CUEVAS HOSPITAL BUEN SAMARITANO LOBBY
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-242-9540
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Fax |
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Provider Business Mailing Address
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Address Line | HOSPITAL BUEN SAMARITANO 18 AVE SEVERIANO CUEVAS, GROUND FLOOR
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-997-0101
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CALEB S PACHECO MOLINA
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Credential | MD
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Telephone | 787-242-9540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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