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General NPI Number Information
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NPI Number | 1174914154
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Entity Type | Organization
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Legal Business Name | PRYMED MEDICAL CARE INC
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 02/11/2015
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Provider Practice Location Address
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Address Line | ROAD #2 KM 39.8 BO. ALGARROBO
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City | VEGA BAJA
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State | PR
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Zip | 00693-0000
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Country | US
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Telephone | 787-871-0601
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Fax | 787-871-3960
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Provider Business Mailing Address
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Address Line | PO BOX 1427
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City | CIALES
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State | PR
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Zip | 00638-1427
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Country | US
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Telephone | 787-871-0601
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Fax | 978-787-1396
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | MRS. MARISOL VEGA
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Credential | BA
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Telephone | 787-871-0601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 1322
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License Number State | PR
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