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General NPI Number Information
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NPI Number | 1306164405
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Entity Type | Individual
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Provider Name | JUAN S MUNIZ TEM
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Gender | Male
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 05/13/2010
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Provider Practice Location Address
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Address Line | 2328 AVE ALBIZU CAMPOS
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City | RINCON
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State | PR
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Zip | 00677-2435
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Country | US
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Telephone | 787-236-4162
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Fax |
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Provider Business Mailing Address
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Address Line | BO RIO GRANDE SECTOR JUAN MUNIZ CARR 115 INT KM 19.2
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-236-4162
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 2003-3427
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License Number State | PR
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