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General NPI Number Information
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NPI Number | 1902376221
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Entity Type | Organization
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Legal Business Name | HEALTH MEDIATOR INC.
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Dates
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Enumeration Date | 11/29/2018
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Last Update Date | 11/29/2018
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Provider Practice Location Address
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Address Line | URB. PASEO DEL PARQUE CALLE CAOBA L-4
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City | JUANA DIAZ
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State | PR
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Zip | 00795-0079
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Country | US
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Telephone | 787-484-9390
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Fax |
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Provider Business Mailing Address
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Address Line | URB. PASEO DEL PARQUE # 727
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City | JUANA DIAZ
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State | PR
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Zip | 00795
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Country | US
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Telephone | 787-484-9390
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANCES M PEDROGO FUENTES
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Credential |
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Telephone | 787-484-9390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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