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General NPI Number Information
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NPI Number | 1851976138
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Entity Type | Organization
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Legal Business Name | COCO PEDIATRICS LLC
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 63 CALLE MENDEZ VIGO E STE 3B
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City | MAYAGUEZ
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State | PR
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Zip | 00680-4928
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Country | US
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Telephone | 787-833-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 63 CALLE MENDEZ VIGO E STE 3B
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City | MAYAGUEZ
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State | PR
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Zip | 00680-4928
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Country | US
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Telephone | 787-833-5050
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER CRUZ BRACERO
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Credential | MD
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Telephone | 787-833-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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