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General NPI Number Information
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NPI Number | 1962213249
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Entity Type | Organization
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Legal Business Name | MVGP INFUSION INC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1507 PONCE DE LEON AVENUE LA CASA SUITE 101
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City | SAN JUAN
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State | PR
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Zip | 00909
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Country | US
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Telephone | 787-407-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 CARR 834 APT 4049
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City | GUAYNABO
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State | PR
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Zip | 00971-9314
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Country | US
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Telephone | 787-381-5858
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA V GARCIA PALLAS
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Credential | MD
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Telephone | 787-407-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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