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General NPI Number Information
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NPI Number | 1174860035
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Entity Type | Organization
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Legal Business Name | HEALTH MANAGEMENT & LOGISTICS GROUP, INC.
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Dates
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Enumeration Date | 01/12/2013
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Last Update Date | 01/12/2013
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Provider Practice Location Address
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Address Line | HC 57 BOX 11616 BO. CRUCES
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City | AGUADA
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State | PR
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Zip | 00602-9855
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Country | US
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Telephone | 787-307-4674
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Fax | 787-868-1182
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Provider Business Mailing Address
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Address Line | PO BOX 400
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City | AGUADA
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State | PR
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Zip | 00602-0400
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Country | US
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Telephone | 787-307-4674
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Fax | 787-868-1182
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Authorized Official
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Title or Position | PRESIDENT / DIRECTOR
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Name | MR. ERIC G. ORTIZ
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Credential | CPA
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Telephone | 787-307-4674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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