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General NPI Number Information
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NPI Number | 1164682456
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Entity Type | Organization
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Legal Business Name | PHYSIATRIC AND EMERGENCY HEALTH SERVICES PSC
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | LAGUNA GARDENS SHOPPING CENTER SUITE 116 PRIMER NIVEL
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-367-3933
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 478 1353 ROAD 19
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City | GUAYNABO
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State | PR
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Zip | 00966-2700
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MINETTE COLON
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Credential | MD
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Telephone | 787-378-7698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State | PR
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