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General NPI Number Information
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NPI Number | 1366697583
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Entity Type | Organization
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Legal Business Name | SAMARITAN HEALTH CARE PSC
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Dates
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Enumeration Date | 12/02/2008
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | CARR. 181 KM 12 RAMAL 745 BO. ESPINO
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City | SAN LORENZO
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State | PR
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Zip | 00754
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Country | US
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Telephone | 787-736-1600
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Fax | 787-736-1600
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Provider Business Mailing Address
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Address Line | BOX 505 PMB 183
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City | SAN LORENZO
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State | PR
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Zip | 00754
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Country | US
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Telephone | 787-736-1600
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Fax | 787-736-1600
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. IRIS R. DELGADO
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Credential |
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Telephone | 787-736-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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