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General NPI Number Information
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NPI Number | 1285018457
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Entity Type | Organization
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Legal Business Name | ABSOLIFE FMS CORP
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 641 AVE ANDALUCIA
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City | SAN JUAN
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State | PR
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Zip | 00920-5308
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Country | US
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Telephone | 787-703-5555
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Fax | 787-301-0304
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Provider Business Mailing Address
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Address Line | PO BOX 6868
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City | BAYAMON
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State | PR
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Zip | 00960-5868
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Country | US
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Telephone | 787-703-5555
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Fax | 787-301-0304
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Authorized Official
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Title or Position | OWNER
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Name | ANGEL M SANTIAGO
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Credential |
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Telephone | 787-703-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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