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General NPI Number Information
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NPI Number | 1114275815
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Entity Type | Organization
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Legal Business Name | MUNICIPALITY OF SAN JUAN PR DIRECTOR DE FINANZAS
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | CENTRO MEDICO BO. MONACILLOS
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City | SAN JUAN
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State | PR
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Zip | 00936
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Country | US
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Telephone | 787-756-8535
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Fax | 787-764-3643
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Provider Business Mailing Address
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Address Line | SAN JUAN CITY HOSPITAL PMB 79 PO BOX 70344
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City | SAN JUAN
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State | PR
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Zip | 00928-8344
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Country | US
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Telephone | 787-756-8535
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Fax | 787-764-3643
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Authorized Official
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Title or Position | CEO
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Name | MS. MYRNA BOISSEN
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Credential | M.H.S.A.
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Telephone | 787-756-8535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 938
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 1112
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 1225
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 1008
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License Number State | PR
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Taxonomy #5
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 432
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License Number State | PR
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Taxonomy #6
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 1196
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License Number State | PR
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Taxonomy #7
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 30
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License Number State | PR
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