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NPI 1205113388

NPI 1205113388 : MEDSCI DIAGNOSTICS INC : CAROLINA, PR

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General NPI Number Information
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    NPI Number           |    1205113388
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDSCI DIAGNOSTICS INC 
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Dates
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    Enumeration Date     |    11/03/2011
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    Last Update Date     |    11/03/2011
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Provider Practice Location Address
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    Address Line         |    65 INFANTERIA AVE INTERSECCION CARR 887 BARRIO SAN ANTON
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    City                 |    CAROLINA
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    State                |    PR
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    Zip                  |    00986
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    Country              |    US
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    Telephone            |    787-723-9393
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    Fax                  |    787-723-9251
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Provider Business Mailing Address
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    Address Line         |    1319 ASHFORD CONDOMINIO SON SID SUITE 1
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00907-1344
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    Country              |    US
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    Telephone            |    787-723-9393
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    Fax                  |    787-723-9251
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. RALPH  VALLONE JR.
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    Credential           |    LLD, BA
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    Telephone            |    787-723-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    
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    License Number State |    
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