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General NPI Number Information
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NPI Number | 1154446037
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Entity Type | Organization
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Legal Business Name | SECCION A NINOS CON NECESIDADES ESPECIALES
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 11/10/2008
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Provider Practice Location Address
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Address Line | CENTRO PEDIATRICO DE ARECIBO CARR. 129 ANTIGUO HOSPITAL DE DISTRITO
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City | ARECIBO
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State | PR
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Zip | 00612-3666
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Country | US
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Telephone | 787-817-1245
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Fax | 787-879-9026
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Provider Business Mailing Address
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Address Line | CENTRO PEDIATRICO DE ARECIBO AVENIDA SAN LUIS # 621
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City | ARECIBO
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State | PR
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Zip | 00616-3666
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Country | US
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Telephone | 787-817-1245
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Fax | 787-879-9026
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Authorized Official
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Title or Position | DIRECTORA EJECUTIVA
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Name | MRS. CARMEN R RODRIGUEZ
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Credential | MPA
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Telephone | 787-771-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | PR
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