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General NPI Number Information
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NPI Number | 1285716126
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Entity Type | Organization
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Legal Business Name | ARNG
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | CALLE #4 D39 CUIDAD INTER BOX595
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-797-0385
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE #4 D39 CUIDAD INTER BUZON595
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-797-0385
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Fax |
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Authorized Official
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Title or Position | MAILMAN
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Name | MRS. AIDA TORRES
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Credential |
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Telephone | 787-221-2788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 18567
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License Number State | PR
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