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General NPI Number Information
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NPI Number | 1184855603
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Entity Type | Organization
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Legal Business Name | MILTON GUASP
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 08/21/2009
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Provider Practice Location Address
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Address Line | PUNTA ARENAS COND C-43
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City | CABO ROJO
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State | PR
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Zip | 00623
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Country | US
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Telephone | 787-530-4662
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Fax |
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Provider Business Mailing Address
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Address Line | 257 CALLE ADUANA STE. 2-105
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City | MAYAGUEZ
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State | PR
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Zip | 00682-3299
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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 | PRESIDENTE
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Name | MILTON GUASP
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Credential |
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Telephone | 787-530-4662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | TC-AMB-584
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License Number State | PR
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