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General NPI Number Information
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NPI Number | 1043742711
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Entity Type | Organization
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Legal Business Name | CLINICA SANTA FE
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 03/31/2017
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Provider Practice Location Address
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Address Line | PORTO BELLO PLAZA SUITE 14
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City | SALINAS
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State | PR
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Zip | 00704-9991
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Country | US
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Telephone | 787-537-7555
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Fax | 787-537-7104
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Provider Business Mailing Address
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Address Line | PO BOX 326
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City | AGUIRRE
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State | PR
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Zip | 00704-0326
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Country | US
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Telephone | 787-537-7555
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Fax | 787-537-7104
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. EDUARDO B. OJEDA
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Credential |
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Telephone | 787-249-2585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 1164891057
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 1275902827
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License Number State | PR
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