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General NPI Number Information
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NPI Number | 1639363740
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Entity Type | Individual
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Provider Name | CARMEN MARIA MARRERO
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Gender | Female
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | SECTOR LOS ROMEROS CAMINO PEDRO VIERA KM.1.0 CAIMITO
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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 | 787-731-4259
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9020383
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City | SAN JUAN
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State | PR
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Zip | 00902-0383
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Country | US
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Telephone | 787-731-4259
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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 | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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