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General NPI Number Information
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NPI Number | 1740143171
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Entity Type | Organization
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Legal Business Name | O2 STAT
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 33 CALLE DR VEVE
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City | BAYAMON
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State | PR
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Zip | 00961-6302
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Country | US
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Telephone | 787-538-4680
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Fax |
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Provider Business Mailing Address
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Address Line | 33 CALLE DR VEVE
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City | BAYAMON
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State | PR
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Zip | 00961-6302
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Country | US
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Telephone | 787-538-4680
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANIBAL MARIANO MARIN
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Credential | CCP
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Telephone | 787-538-4680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 242T00000X
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Taxonomy Name | Perfusionist
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License Number |
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License Number State |
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