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General NPI Number Information
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NPI Number | 1851686547
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Entity Type | Organization
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Legal Business Name | CENTRO MARGARITA,INC
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Dates
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Enumeration Date | 06/10/2011
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Last Update Date | 06/10/2011
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Provider Practice Location Address
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Address Line | CARR 172 KM 8.4 BO. CERTENEJAS
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City | CIDRA
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State | PR
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Zip | 00739-9917
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Country | US
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Telephone | 787-739-6030
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Fax | 787-739-0808
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Provider Business Mailing Address
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Address Line | RR 3 BOX 7260
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City | CIDRA
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State | PR
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Zip | 00739-9917
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Country | US
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Telephone | 787-739-6030
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Fax | 787-739-0808
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. GLADYS YADIRA MARRERO
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Credential |
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Telephone | 787-739-6030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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