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General NPI Number Information
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NPI Number | 1336492909
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Entity Type | Organization
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Legal Business Name | CIMA
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Dates
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Enumeration Date | 10/19/2012
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | AVE AGUSTIN RAMOS CALERO KM 1.4
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City | ISABELA
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State | PR
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Zip | 00662
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Country | US
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Telephone | 787-830-2747
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Fax | 787-830-0465
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Provider Business Mailing Address
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Address Line | PO BOX 737
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City | ISABELA
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State | PR
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Zip | 00662-0737
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Country | US
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Telephone | 787-830-2747
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Fax | 787-830-0465
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Authorized Official
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Title or Position | SECRETARY
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Name | ROXANNE MEDINA
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Credential |
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Telephone | 787-830-2747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | MU9339
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | MU9338
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License Number State | PR
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