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General NPI Number Information
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NPI Number | 1215101449
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Entity Type | Organization
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Legal Business Name | MEDICAL EMERGENCY RESPONSE SYSTEM
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 11/25/2013
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Provider Practice Location Address
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Address Line | 113 STREET KM 12.2 INT. SECTOR LA ROMANA BO. CACAO
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City | QUEBRADIILAS
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State | PR
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Zip | 00678
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Country | US
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Telephone | 787-385-1728
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Fax | 787-868-0395
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Provider Business Mailing Address
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Address Line | PO BOX 1445
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City | QUEBRADILLAS
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State | PR
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Zip | 00678-1445
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Country | US
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Telephone | 787-385-1728
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Fax | 787-868-0395
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Authorized Official
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Title or Position | REPRESENTATIVE/SECRETARY
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Name | GILBERTO HERNANDEZ
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Credential |
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Telephone | 787-385-1728
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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 530
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License Number State | PR
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