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General NPI Number Information
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NPI Number | 1235174871
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Entity Type | Organization
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Legal Business Name | PALMETTO HEALTH CARE CORP
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | COND LAS MERCEDES AVE 65 INFANTERIA LOCAL C 5
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City | SAN JUAN
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State | PR
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Zip | 00926-1942
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Country | US
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Telephone | 787-282-0214
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20617
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City | SAN JUAN
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State | PR
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Zip | 00928-0617
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Country | US
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Telephone | 787-282-0214
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. NILDA FUENTES
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Credential |
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Telephone | 787-282-0214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | PR
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