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General NPI Number Information
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NPI Number | 1720478076
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Entity Type | Organization
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Legal Business Name | MEDICAL FAMILY CENTER CORP.
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 01/29/2015
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Provider Practice Location Address
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Address Line | CARRETERA 173 KM. 6.5 SECTOR SAN JOSE BARRIO RABANAL
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City | CIDRA
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State | PR
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Zip | 00739
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Country | US
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Telephone | 787-739-6655
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1862
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City | CIDRA
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State | PR
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Zip | 00739-1862
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Country | US
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Telephone | 787-739-6655
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JOSE B PEREZ
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Credential |
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Telephone | 787-739-6655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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