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General NPI Number Information
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NPI Number | 1891939468
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Entity Type | Organization
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Legal Business Name | ELIMAE PROTESIS & ORTESIS MEDICAL,INC
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | HC 20 BOX 29200
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City | SAN LORENZO
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State | PR
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Zip | 00754-9557
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Country | US
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Telephone | 787-479-9667
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Fax |
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Provider Business Mailing Address
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Address Line | HC 20 BOX 29200
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City | SAN LORENZO
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State | PR
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Zip | 00754-9557
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Country | US
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Telephone | 787-479-9667
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | MISS LILLIAN NARVAEZ
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Credential |
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Telephone | 787-479-9667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | PR
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