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General NPI Number Information
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NPI Number | 1336161298
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Entity Type | Organization
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Legal Business Name | JOEL PASTRANA
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 130 CARR 862 BO. HATO TEJAS
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City | BAYAMON
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State | PR
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Zip | 00959-4155
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Country | US
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Telephone | 787-373-9696
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Fax | 787-799-9226
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Provider Business Mailing Address
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Address Line | PO BOX 3583
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City | BAYAMON
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State | PR
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Zip | 00958-0583
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Country | US
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Telephone | 787-373-9696
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Fax | 787-799-9226
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOEL PASTRANA
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Credential | EMTB
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Telephone | 787-373-9696
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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 | 2132CP
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License Number State | PR
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