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General NPI Number Information
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NPI Number | 1013235001
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Entity Type | Organization
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Legal Business Name | ZANYA MEDICAL SERVICE, CSP
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 05/14/2010
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Provider Practice Location Address
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Address Line | CARR 1405 KM 1.2 BO CARRERAS
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City | ANASCO
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State | PR
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Zip | 00610
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Country | US
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Telephone | 787-464-4680
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 250421
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City | AGUADILLA
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State | PR
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Zip | 00604
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Country | US
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Telephone | 787-464-4680
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ZANYA O RIVERA SANTANA
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Credential | M.D.
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Telephone | 787-464-4680
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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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