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General NPI Number Information
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NPI Number | 1154309169
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Entity Type | Organization
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Legal Business Name | INSTITUTO MEDICO DEL NORTE INC
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | CARR 2 KM 39 5 BO ALGARROBO
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-858-1580
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Fax | 787-858-2385
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Provider Business Mailing Address
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Address Line | CALL BOX 7001
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City | VEGA BAJA
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State | PR
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Zip | 00694-7001
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Country | US
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Telephone | 787-858-1580
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Fax | 787-858-2385
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Authorized Official
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Title or Position | IT MANAGER
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Name | MR. MIGUEL APONTE JR.
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Credential |
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Telephone | 787-858-1580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 69
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License Number State | PR
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