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General NPI Number Information
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NPI Number | 1316248131
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Entity Type | Organization
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Legal Business Name | ORGANIZACION DE SALUD ADMINISTRADA-OSA, INC
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | AVE ROBERTO CLEMENTE AVE 66 ST BLOQUE 124 #8 ALTOS VILLA CAROLINA
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City | CAROLINA
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State | PR
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Zip | 00980
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Country | US
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Telephone | 787-257-0709
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Fax | 787-276-4275
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Provider Business Mailing Address
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Address Line | PO BOX 3619
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City | CAROLINA
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State | PR
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Zip | 00984-3619
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Country | US
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Telephone | 787-257-0709
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Fax | 787-276-4275
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JORGE HESS- RIUTORT
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Credential | M.D.
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Telephone | 787-257-0709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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