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General NPI Number Information
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NPI Number | 1184002495
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Entity Type | Organization
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Legal Business Name | BAYANEY XRAY
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | CARR. 119 KM 15.1 BO. BAYANEY
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City | HATILLO
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State | PR
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Zip | 00659
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Country | US
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Telephone | 787-597-2334
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 637
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-0637
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Country | US
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Telephone | 787-597-2334
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MR. JOSE S RODRIGUEZ
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Credential |
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Telephone | 787-597-2334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 12-005
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License Number State | PR
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