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General NPI Number Information
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NPI Number | 1700493616
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Entity Type | Organization
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Legal Business Name | MANA HOME ASSOCIATES, INC
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 671 AVENIDA ACUARIO URB VENUS GARDENS
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-233-0287
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Fax |
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Provider Business Mailing Address
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Address Line | 671 AVENIDA ACUARIO URB VENUS GARDENS
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-233-0287
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MARGARITA APONTE
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Credential | RN, PHD
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Telephone | 787-233-0287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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