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General NPI Number Information
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NPI Number | 1255090031
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Entity Type | Organization
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Legal Business Name | NWC CORP
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | ESCORIAL BUILDING ONE 1400 AVE. DE DIEGO SUITE 220C PARQUE ESCORIAL
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-688-5387
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Fax |
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Provider Business Mailing Address
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Address Line | ESCORIAL BUILDING ONE 1400 AVE. DE DIEGO SUITE 220C PARQUE ESCORIAL
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-688-5387
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ANA EUGENIA RODRIGUEZ ZAYAS
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Credential | PHD,ND,MT
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Telephone | 787-688-5387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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