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General NPI Number Information
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NPI Number | 1639679012
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Entity Type | Organization
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Legal Business Name | NRMD HEALTH PROVIDERS LLC
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Dates
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Enumeration Date | 02/13/2018
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 1801 PONCE DE LEON SUITE 101-C SANTURCE MEDICAL MALL
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City | SAN JUAN
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State | PR
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Zip | 00909
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Country | US
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Telephone | 787-995-7098
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Fax | 787-995-7140
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Provider Business Mailing Address
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Address Line | PO BOX 19237
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City | SAN JUAN
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State | PR
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Zip | 00910-1237
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Country | US
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Telephone | 787-995-7098
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Fax | 787-995-7140
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARIA E NARVAEZ RIVERA
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Credential | MD
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Telephone | 787-638-8410
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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 | 1370
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License Number State | PR
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