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General NPI Number Information
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NPI Number | 1235172503
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Entity Type | Organization
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Legal Business Name | NOEL GONZALEZ ORTIZ
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | PARCELAS NIAGARA 47
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City | COAMO
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State | PR
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Zip | 00769
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Country | US
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Telephone | 787-825-1544
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Fax | 787-825-1544
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Provider Business Mailing Address
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Address Line | P O BOX 1146
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City | AIBONITO
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State | PR
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Zip | 00705
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Country | US
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Telephone | 787-825-1544
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Fax | 787-825-1544
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Authorized Official
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Title or Position | DUENO
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Name | NOEL GONZALEZ
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Credential |
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Telephone | 787-825-1544
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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 |
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License Number State | PR
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