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General NPI Number Information
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NPI Number | 1740428598
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Entity Type | Organization
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Legal Business Name | CMF MEDICAL GROUP PSC
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 55 BARBOSA STREET
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City | CAYEY
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State | PR
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Zip | 00736
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Country | US
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Telephone | 787-738-3088
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Fax | 309-410-9526
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Provider Business Mailing Address
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Address Line | PO BOX 1267
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City | CAYEY
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State | PR
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Zip | 00737-1267
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Country | US
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Telephone | 787-738-3088
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Fax | 309-410-9526
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MAYRA L. LOPEZ ORTIZ
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Credential | M.D.
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Telephone | 787-738-3088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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