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General NPI Number Information
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NPI Number | 1871445049
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Entity Type | Organization
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Legal Business Name | IMOVE LLC
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | CONDOMINIO BORINQUEN TOWERS III, AVENIDA F.D. ROOSEVELT LOCAL #10
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City | SAN JUAN
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State | PR
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Zip | 00920
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Country | US
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Telephone | 787-940-3233
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 536
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City | CATANO
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State | PR
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Zip | 00963-0536
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Country | US
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Telephone | 787-940-3233
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICOLE ROMAN MEDINA
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Credential | OTR/L
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Telephone | 787-221-4446
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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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