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General NPI Number Information
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NPI Number | 1205690823
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Entity Type | Organization
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Legal Business Name | HILLUMED SRL
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Dates
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Enumeration Date | 02/13/2024
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 50 METROS NORTE DE LA SODA LOCAL MANO IZQUIERDA
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City | JACO
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State | PUNTARENAS
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Zip | 99999
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Country | CR
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Telephone | 506-402-0220
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11577
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City | FORT LAUDERDALE
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State | FL
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Zip | 33339-1577
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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 | COO
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Name | DIXAN GONZALEZ
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Credential |
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Telephone | 954-526-9751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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