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General NPI Number Information
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NPI Number | 1114796083
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Entity Type | Organization
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Legal Business Name | PRESBYTERIAN COMMUNITY HOSPITAL INC.
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Dates
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Enumeration Date | 12/20/2023
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 1451 AVE ASHFORD
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City | SAN JUAN
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State | PR
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Zip | 00907-1511
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Country | US
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Telephone | 787-721-2160
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Fax | 787-724-4986
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Provider Business Mailing Address
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Address Line | PO BOX 9020032
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City | SAN JUAN
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State | PR
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Zip | 00902-0032
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Country | US
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Telephone | 787-721-2160
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Fax | 787-724-4986
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Authorized Official
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Title or Position | AUDIT AND BILLING MANAGER
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Name | LUIS A RODRIGUEZ
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Credential |
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Telephone | 787-721-2160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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