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General NPI Number Information
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NPI Number | 1215468228
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Entity Type | Organization
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Legal Business Name | PRIORITY CARE SERVICES LLC
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 03/22/2017
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Provider Practice Location Address
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Address Line | 66400 AVE ISLA VERDE
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City | CAROLINA
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State | PR
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Zip | 00979
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Country | US
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Telephone | 787-253-0491
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Fax |
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Provider Business Mailing Address
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Address Line | 6400 AVE ISLA VERDE
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City | CAROLINA
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State | PR
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Zip | 00979-7161
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Country | US
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Telephone | 787-253-0491
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGEL A ABAD MARTINEZ SR.
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Credential | BSN RN CWSCN
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Telephone | 787-253-0491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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