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General NPI Number Information
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NPI Number | 1265812887
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Entity Type | Organization
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Legal Business Name | ADVANCE MEDICAL & ADMINISTRATION SERVICES, CORP
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | A25 CIUDAD JARDIN II
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City | CANOVANAS
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State | PR
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Zip | 00729-0000
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Country | US
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Telephone | 787-473-5363
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9899 PLAZA CAROLINA STATION
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City | CAROLINA
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State | PR
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Zip | 00988-9899
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Country | US
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Telephone | 787-473-5363
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICARDO RIVERA GARCIA
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Credential | SR.
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Telephone | 787-473-5363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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