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General NPI Number Information
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NPI Number | 1588273023
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Entity Type | Organization
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Legal Business Name | MRPV,LLC
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 113 CALLE MARGINAL
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City | VEGA BAJA
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State | PR
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Zip | 00693-4218
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Country | US
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Telephone | 787-665-0490
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Fax | 787-665-0492
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Provider Business Mailing Address
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Address Line | PO BOX 9020374
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City | SAN JUAN
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State | PR
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Zip | 00902-0374
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Country | US
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Telephone | 787-638-0672
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Fax | 787-665-0492
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIA R PEREZ
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Credential | LIC.
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Telephone | 787-638-0672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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