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General NPI Number Information
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NPI Number | 1164881140
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Entity Type | Organization
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Legal Business Name | SOUTHERN HOSPITAL SERVICES INC
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Dates
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Enumeration Date | 02/18/2016
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | CARR 153 ESQ 52 BARRIO FELICIA 2 EDIFICIO PROFESSIONAL
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-971-0040
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Fax | 787-260-1441
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Provider Business Mailing Address
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Address Line | PO BOX 1441
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City | JUANA DIAZ
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State | PR
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Zip | 00795-1441
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Country | US
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Telephone | 787-971-0040
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Fax | 787-260-1441
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Authorized Official
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Title or Position | VICE PRESIDENTA OPERACIONES
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Name | MRS. DIANA M TORRES
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Credential |
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Telephone | 787-837-2265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | 110
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License Number State | PR
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