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General NPI Number Information
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NPI Number | 1326326109
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Entity Type | Organization
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Legal Business Name | WARRIOR LIFE INC
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Dates
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Enumeration Date | 07/28/2011
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | CARR 486 RAMAL 4486 BO. CIBAO
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City | CAMUY
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State | PR
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Zip | 00627
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Country | US
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Telephone | 787-314-8803
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1201
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City | CAMUY
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State | PR
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Zip | 00627-1201
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Country | US
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Telephone | 787-314-8803
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ISRAEL PEREZ
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Credential |
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Telephone | 787-314-8803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | TCAMBNUEVA
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License Number State | PR
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