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General NPI Number Information
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NPI Number | 1265862999
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Entity Type | Organization
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Legal Business Name | ADVANCED ELECTROPHYSIOLOGY SERVICES LLC
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Dates
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Enumeration Date | 11/15/2013
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Last Update Date | 11/15/2013
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Provider Practice Location Address
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Address Line | 501 METRO MEDICAL CENTER A 995 CARRETERA NUM 2
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-294-9039
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Fax |
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Provider Business Mailing Address
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Address Line | 501 METRO MEDICAL CENTER A 995 CARRETERA NUM. 2
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. DANIEL ARZOLA CASTANER
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Credential | M.D.
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Telephone | 787-504-8868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 14185
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License Number State | PR
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