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General NPI Number Information
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NPI Number | 1649978693
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Entity Type | Organization
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Legal Business Name | RESPIRA MEDICAL AND WELLNESS CENTER
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | HOSPITAL MENONITA DE HUMACAO 300 SECTOR CUESTA LOS JOBOS
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 939-276-1574
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Fax |
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Provider Business Mailing Address
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Address Line | URB. ESTANCIA DE JUNCOS 112
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City | JUNCOS
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State | PR
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Zip | 00777
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Country | US
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Telephone | 939-276-1574
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JIVET LEE MORALES MORALES
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Credential | MD
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Telephone | 407-967-3427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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