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General NPI Number Information
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NPI Number | 1063506061
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Entity Type | Organization
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Legal Business Name | GB FAMILY HEALTHCARE, INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | CALLE AMISTAD #8
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City | LAJAS
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State | PR
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Zip | 00667-0000
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Country | US
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Telephone | 787-899-7884
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Fax | 787-899-7884
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Provider Business Mailing Address
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Address Line | PO BOX 644
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City | LAJAS
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State | PR
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Zip | 00667-0644
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Country | US
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Telephone | 787-899-7884
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Fax | 787-899-7884
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Authorized Official
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Title or Position | GENERAL MANAGER/OWNER
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Name | MRS. NELLY E. CASIANO
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Credential |
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Telephone | 787-899-7884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | APM-328
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License Number State | PR
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