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General NPI Number Information
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NPI Number | 1225314438
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Entity Type | Organization
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Legal Business Name | COALICION DE COALICIONES PRO PERSONAS SIN HOGAR DE PUERTO RICO, INC
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 06/04/2015
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Provider Practice Location Address
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Address Line | 1663 CALLE SALUD ESQ. CAMPECHE
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City | PONCE
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State | PR
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Zip | 00730
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Country | US
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Telephone | 787-848-3073
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Fax | 787-813-1919
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Provider Business Mailing Address
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Address Line | 44 CALLE ISABEL
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City | PONCE
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State | PR
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Zip | 00730-3722
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Country | US
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Telephone | 787-848-3073
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Fax | 787-813-1919
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANCISCO J RODRIGUEZ
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Credential |
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Telephone | 787-848-3073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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