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General NPI Number Information
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NPI Number | 1205005410
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Entity Type | Organization
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Legal Business Name | AJC SOFTWARE INC.
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 08/15/2014
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Provider Practice Location Address
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Address Line | 2612 AVENIDA LAS AMERICAS URB. CONSTANCIA
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City | PONCE
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State | PR
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Zip | 00717-2107
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Country | US
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Telephone | 787-492-0020
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Fax | 787-492-0021
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Provider Business Mailing Address
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Address Line | PO BOX 336892
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City | PONCE
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State | PR
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Zip | 00733-6892
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Country | US
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Telephone | 787-492-0020
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Fax | 787-492-0021
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ARMANDO J COLLAZO
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Credential | MHSA
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Telephone | 787-492-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | PR
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