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General NPI Number Information
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NPI Number | 1922093368
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Entity Type | Individual
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Provider Name | JULIO ARMANDO MARRERO-GUADALUPE MD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | AVE. EL JIBARO CARR. 172 KM. 13.5 BO. BAYAMON
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City | CIDRA
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State | PR
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Zip | 00739-1330
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Country | US
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Telephone | 787-739-8182
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Fax | 787-739-8190
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Provider Business Mailing Address
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Address Line | PO BOX 32
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City | CAGUAS
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State | PR
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Zip | 00726-0032
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Country | US
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Telephone | 787-502-3492
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Fax | 787-739-8190
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12356
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License Number State | PR
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