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General NPI Number Information
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NPI Number | 1063876886
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Entity Type | Organization
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Legal Business Name | PREMIERH HEALTH SCREENING CORPORATION
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | CALLE 21 CARR 189 KM 2.1 URB REPARTO CAGUAX
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-789-3032
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 334-405 AVE ESMERALDA STE 2
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-789-3032
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANCISCO ALVAREZ
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Credential |
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Telephone | 787-789-3032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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