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General NPI Number Information
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NPI Number | 1982482683
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Entity Type | Organization
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Legal Business Name | UNION PRIMARY CARE LLC
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | CARR #2 KM 26.2 BARRIO ESPINOSA
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-567-5757
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Fax |
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Provider Business Mailing Address
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Address Line | URB LAS VEGAS CALLE 25 II19
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City | CATANO
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State | PR
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Zip | 00962
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Country | US
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Telephone | 787-567-5757
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMILIO JOSE VELEZ
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Credential | MD
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Telephone | 787-423-1102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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