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General NPI Number Information
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NPI Number | 1952947087
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Entity Type | Organization
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Legal Business Name | MFP GASTROENTEROLOGY, LLC
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 11/25/2019
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Provider Practice Location Address
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Address Line | EDIFICIO JESUS T. PINEIRO AVE FERNANDEZ JUNCOS ESQ. CALLE MOLINILLO, BO. PUEBLO
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City | CAROLINA
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State | PR
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Zip | 00986
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Country | US
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Telephone | 787-237-9986
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37085
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City | SAN JUAN
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State | PR
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Zip | 00937-0085
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MERVIN FIGUEROA
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Credential |
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Telephone | 787-447-6137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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