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General NPI Number Information
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NPI Number | 1841147451
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Entity Type | Organization
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Legal Business Name | ESSENTIA NATUROPATHIC & INTEGRATIVE MEDICINE LLC
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 1400 AVE DE DIEGO
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City | CAROLINA
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State | PR
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Zip | 00987-4701
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Country | US
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Telephone | 787-910-0077
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 AVE DE DIEGO ESCORIAL BLDG ONE STE 220C
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City | CAROLINA
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State | PR
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Zip | 00987-4701
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Country | US
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Telephone | 787-910-0077
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. MYRNA M NUNEZ OBEN
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Credential | ND
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Telephone | 787-910-0077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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