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General NPI Number Information
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NPI Number | 1235898891
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Entity Type | Organization
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Legal Business Name | DIAMOND MEDICAL SYSTEM CORP
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 2341 AVENIDA EDUARDO RUBERTE SECOND FLOOR
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 787-509-6488
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Fax | 939-201-7587
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Provider Business Mailing Address
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Address Line | PO BOX 10188
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City | PONCE
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State | PR
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Zip | 00732-0188
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Country | US
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Telephone | 787-509-6488
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Fax | 939-201-7587
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Authorized Official
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Title or Position | PRESIDENT
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Name | WANDA ENID BATISTA
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Credential |
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Telephone | 787-509-6488
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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 |
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