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General NPI Number Information
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NPI Number | 1053049072
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Entity Type | Organization
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Legal Business Name | AS RHEUMATOLOGY LLC
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | MANATI MEDICAL PLZ # 104
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City | MANATI
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State | PR
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Zip | 00674-5507
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Country | US
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Telephone | 939-588-1199
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 15888
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City | COROZAL
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State | PR
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Zip | 00783-9258
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Country | US
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Telephone | 939-588-1199
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Fax |
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Authorized Official
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Title or Position | RHEUMATOLOGIST
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Name | DR. ADIANEZ SANTIAGO
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Credential | MD
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Telephone | 939-588-1199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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