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General NPI Number Information
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NPI Number | 1225454762
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Entity Type | Organization
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Legal Business Name | CENTRO DE HEMATOLOGIA Y ONCOLOGIA MEDICA ASHFORD CSP
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Dates
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Enumeration Date | 03/07/2014
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Last Update Date | 03/07/2014
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Provider Practice Location Address
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Address Line | 29 CALLE WASHINGTON SUITE 604
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City | SAN JUAN
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State | PR
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Zip | 00907-1510
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Country | US
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Telephone | 787-725-6356
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Fax | 787-724-3527
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Provider Business Mailing Address
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Address Line | 29 CALLE WASHINGTON SUITE 604
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City | SAN JUAN
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State | PR
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Zip | 00907-1510
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Country | US
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Telephone | 787-725-6356
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Fax | 787-724-3527
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. HILDA E RIVERA
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Credential | MD
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Telephone | 787-725-6356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number |
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License Number State |
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