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General NPI Number Information
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NPI Number | 1366425050
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Entity Type | Organization
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Legal Business Name | SUR-MED MEDICAL CORP
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 8 COLON PACHECO ST
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City | SALINAS
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State | PR
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Zip | 00751
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Country | US
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Telephone | 787-824-7097
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Fax | 787-824-7655
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Provider Business Mailing Address
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Address Line | PO BOX 1162
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City | SALINAS
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State | PR
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Zip | 00751
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Country | US
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Telephone | 787-824-7097
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Fax | 787-824-7655
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Authorized Official
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Title or Position | PRESIDENT MEDICAL DIRECTOR
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Name | CARLOS J RODRIGUEZ-MATEO
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Credential | MD
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Telephone | 787-824-7097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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