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General NPI Number Information
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NPI Number | 1295382927
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Entity Type | Organization
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Legal Business Name | FIRST AIDS MEDICAL CLINIC
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Dates
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Enumeration Date | 08/19/2019
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Last Update Date | 08/30/2019
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Provider Practice Location Address
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Address Line | SAN SEBASTIAN MEDICAL CENTER AVE EMERITO ESTRADA RIVERA
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-0068
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Country | US
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Telephone | 787-922-8760
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Fax |
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Provider Business Mailing Address
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Address Line | 56 CALLE LOS PINOS URB LA ESTANCIA
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685
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Country | US
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Telephone | 787-922-8760
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Fax | 787-589-7246
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Authorized Official
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Title or Position | MD
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Name | DR. EMANUEL J BARRETO PEREZ
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Credential |
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Telephone | 787-922-8760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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