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General NPI Number Information
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NPI Number | 1225435324
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Entity Type | Organization
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Legal Business Name | HOSPICIO LA MONSERRATE
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 14 AVE QUILINCHINI 1
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City | SABANA GRANDE
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State | PR
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Zip | 00637-0000
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Country | US
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Telephone | 787-873-5998
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Fax | 787-873-6001
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Provider Business Mailing Address
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Address Line | PO BOX 1263
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City | AGUADA
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State | PR
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Zip | 00602-1263
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Country | US
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Telephone | 787-873-5998
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Fax | 787-873-6001
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. MAYRA R MENDEZ
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Credential | M.A. BUSSINESS ADM
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Telephone | 787-873-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 13-016
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License Number State | PR
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