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NPI 1114090727

NPI 1114090727 : CLINICAL MEDICAL SERVICES INC : CAROLINA, PR

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General NPI Number Information
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    NPI Number           |    1114090727
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLINICAL MEDICAL SERVICES INC 
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Dates
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    Enumeration Date     |    11/15/2006
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    Last Update Date     |    03/28/2023
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Provider Practice Location Address
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    Address Line         |    20055 CALLE JOSE S QUINONES 
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    City                 |    CAROLINA
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    State                |    PR
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    Zip                  |    00985-5600
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    Country              |    US
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    Telephone            |    787-620-2900
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    Fax                  |    787-474-2800
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3569 
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    City                 |    CAROLINA
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    State                |    PR
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    Zip                  |    00984-3569
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    Country              |    US
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    Telephone            |    787-620-2900
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    Fax                  |    787-625-3227
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     LINDA J. MENDEZ 
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    Credential           |    
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    Telephone            |    787-620-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336S0011X
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    Taxonomy Name        |    Specialty Pharmacy
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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        |    3336H0001X
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    Taxonomy Name        |    Home Infusion Therapy Pharmacy
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    License Number       |    17-F-3127
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    License Number State |    PR
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