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General NPI Number Information
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NPI Number | 1710944558
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Entity Type | Organization
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Legal Business Name | PEREZ & RIVERA P L
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 800 CENTURY MEDICAL DR SUITE A
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City | TITUSVILLE
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State | FL
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Zip | 32796-2151
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Country | US
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Telephone | 321-269-5101
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Fax | 321-269-6871
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Provider Business Mailing Address
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Address Line | 800 CENTURY MEDICAL DR SUITE A
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City | TITUSVILLE
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State | FL
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Zip | 32796-2151
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Country | US
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Telephone | 321-269-5101
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Fax | 321-269-6871
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Authorized Official
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Title or Position | FINANCIAL MANAGER
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Name | BEATRIZ PEREZ
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Credential |
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Telephone | 321-269-5101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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