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General NPI Number Information
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NPI Number | 1295060945
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Entity Type | Organization
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Legal Business Name | MEDIEXPREESS
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | ARZUAGA 112 SUITE 605
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City | SAN JUAN
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State | PR
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Zip | 00925-3316
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Country | US
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Telephone | 787-646-0202
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Fax |
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Provider Business Mailing Address
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Address Line | ARZUAGA 112 SUITE 605
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City | SAN JUAN
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State | PR
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Zip | 00925
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Country | US
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Telephone | 787-909-0043
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Fax |
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Authorized Official
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Title or Position | GERENTE
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Name | MISS ESCALERA MICHELLE CARLA
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Credential | GERENTE
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Telephone | 787-909-0043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State |
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