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General NPI Number Information
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NPI Number | 1053659466
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Entity Type | Organization
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Legal Business Name | G&G PROFESSIONAL SERVICES,CSP
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Dates
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Enumeration Date | 01/18/2013
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | CALLE YUNQUESITO CC-13 MANSIONES DE CAROLINA
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City | CAROLINA
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State | PR
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Zip | 00987-0000
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Country | US
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Telephone | 939-640-9606
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE YUNQUESITO CC-13 MANSIONES DE CAROLINA
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City | CAROLINA
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State | PR
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Zip | 00987-0000
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Country | US
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Telephone | 939-640-9606
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS YAMILLE GUZMAN
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Credential |
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Telephone | 939-640-9606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 320820
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License Number State | PR
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