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General NPI Number Information
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NPI Number | 1346918943
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Entity Type | Organization
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Legal Business Name | EVOCARE, CORP.
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | AVE. LAS PALMAS 1050 COND PUERTA DE LA BAHIA APTO 1216
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City | SAN JUAN
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State | PR
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Zip | 00907-0090
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Country | US
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Telephone | 787-612-8673
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29883
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City | SAN JUAN
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State | PR
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Zip | 00929-0883
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Country | US
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Telephone | 787-363-2273
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VALERIA TRINIDAD
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Credential |
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Telephone | 787-363-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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