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General NPI Number Information
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NPI Number | 1811580285
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Entity Type | Organization
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Legal Business Name | CBV MANAGEMENT
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Dates
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Enumeration Date | 02/17/2021
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | CARR 159 # KM13.9
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City | COROZAL
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State | PR
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Zip | 00783-2903
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Country | US
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Telephone | 787-859-3034
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1438
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City | COROZAL
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State | PR
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Zip | 00783-1438
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Country | US
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Telephone | 787-859-3034
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CARMEN BONET VAZQUEZ
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Credential |
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Telephone | 787-376-1341
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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 |
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License Number State |
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