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General NPI Number Information
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NPI Number | 1104251107
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Entity Type | Organization
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Legal Business Name | IZOL RESPIRATORY SERVICES & MEDICAL EQUIPMENT PSC
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Dates
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Enumeration Date | 09/09/2013
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 619 CALLE ASIS URBANIZACION CIUDAD REAL
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City | VEGA BAJA
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State | PR
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Zip | 00693-3676
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Country | US
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Telephone | 939-242-1820
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Fax | 787-654-9232
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Provider Business Mailing Address
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Address Line | 619 CALLE ASIS URBANIZACION CIUDAD REAL
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City | VEGA BAJA
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State | PR
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Zip | 00693-3676
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Country | US
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Telephone | 939-242-1820
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Fax | 787-654-9232
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Authorized Official
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Title or Position | PRESIDENTA
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Name | MISS MARISOL ROSADO ROSADO
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Credential | T,R
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Telephone | 939-242-1820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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