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General NPI Number Information
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NPI Number | 1063769610
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Entity Type | Organization
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Legal Business Name | GRISEIRY MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 1123 COM COMUNIDAD #3
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City | PENUELAS
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State | PR
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Zip | 00624
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Country | US
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Telephone | 787-325-8072
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Fax | 787-836-3414
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Provider Business Mailing Address
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Address Line | 1123 COM COMUNIDAD #3
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City | PENUELAS
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State | PR
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Zip | 00624
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Country | US
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Telephone | 787-325-8072
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Fax | 787-836-3414
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Authorized Official
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Title or Position | OWNER
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Name | GRISEIRY SANTIAGO LINARES
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Credential |
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Telephone | 787-325-8072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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