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General NPI Number Information
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NPI Number | 1811463318
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Entity Type | Organization
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Legal Business Name | MEDICAL MANAGEMENT & CONSULTING GROUP LLC
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Dates
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Enumeration Date | 10/23/2018
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Last Update Date | 10/23/2018
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Provider Practice Location Address
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Address Line | COND TORRES DEL ESCORIAL 2 2705 AVE SUR
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-951-6000
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Fax |
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Provider Business Mailing Address
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Address Line | COND TORRES DEL ESCORIAL 2 2705 AVE SUR
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-951-6000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSANGELY SANJURJO
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Credential |
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Telephone | 787-951-6000
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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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