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General NPI Number Information
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NPI Number | 1326369679
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Entity Type | Organization
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Legal Business Name | ACTION MEDICAL
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 109 CALLE GUAYAMA
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City | SAN JUAN
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State | PR
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Zip | 00917-4512
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Country | US
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Telephone | 787-692-7000
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Fax | 787-754-9911
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Provider Business Mailing Address
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Address Line | 109 CALLE GUAYAMA
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City | SAN JUAN
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State | PR
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Zip | 00917-4512
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Country | US
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Telephone | 787-692-7000
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Fax | 787-754-9911
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FELIX ALBERTO RODRIGUEZ
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Credential | ATTORNEY
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Telephone | 787-692-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 17940
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 17940
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 17940
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License Number State | PR
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