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General NPI Number Information
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NPI Number | 1841686524
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Entity Type | Organization
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Legal Business Name | MRPV,LLC
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | LAGUNA GARDENS SHOPPING CENTER SUITE 208
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City | CAROLINA
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State | PR
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Zip | 00981
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Country | US
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Telephone | 787-523-6183
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Fax | 787-523-6185
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Provider Business Mailing Address
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Address Line | PO BOX 9020374
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City | SAN JUAN
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State | PR
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Zip | 00902-0374
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Country | US
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Telephone | 787-638-0672
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Fax | 787-385-7771
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIA R PEREZ VERAS
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Credential | MT
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Telephone | 787-638-0672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 1316
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License Number State | PR
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