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General NPI Number Information
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NPI Number | 1093103566
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Entity Type | Organization
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Legal Business Name | INTEGRATE COMMUNITY HEALTH SYSTEM
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 54 AVENIDA PRINCIPAL KM03 URB BRISAS DEL MAR
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City | GUAYAMA
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State | PR
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Zip | 00784
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Country | US
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Telephone | 787-772-9850
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Fax | 787-641-4240
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Provider Business Mailing Address
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Address Line | 400 CALLE CALAF PMB 455
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City | SAN JUAN
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State | PR
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Zip | 00918-1314
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Country | US
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Telephone | 787-772-9850
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Fax | 787-641-4240
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. VIVIAN SOLIVAN
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Credential |
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Telephone | 787-772-9850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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