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General NPI Number Information
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NPI Number | 1801256870
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Entity Type | Organization
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Legal Business Name | A & M CORP.
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Dates
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Enumeration Date | 03/03/2016
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Last Update Date | 03/03/2016
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Provider Practice Location Address
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Address Line | 350 STATE RD 3 PLAZA PALMA REAL SHOPPING CENTER STE 170
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City | HUMACAO
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State | PR
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Zip | 00986-0895
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Country | US
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Telephone | 787-769-6500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 895
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City | CAROLINA
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State | PR
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Zip | 00986-0895
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Country | US
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Telephone | 787-769-6500
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Fax |
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Authorized Official
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Title or Position | OPTICO LIC.
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Name | DR. ANGEL MARIN MARIN
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Credential | 331
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Telephone | 787-850-5222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 331
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License Number State | PR
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