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General NPI Number Information
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NPI Number | 1346895901
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Entity Type | Organization
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Legal Business Name | KYA MEDICAL HEALTH SERVICES
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Dates
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Enumeration Date | 08/09/2019
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | PR 4416 KM 5.2 BO LAGUNA
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-932-3162
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 32672
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City | AGUADA
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State | PR
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Zip | 00602-9835
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN CHAPARRO
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Credential | MD
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Telephone | 787-932-3162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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