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General NPI Number Information
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NPI Number | 1376714576
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Entity Type | Organization
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Legal Business Name | CLINICA TERAPEUTICA ATLETICA LOAVI
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 8 CALLE BARBOSA
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City | COAMO
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State | PR
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Zip | 00769-3266
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Country | US
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Telephone | 787-825-3019
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Fax | 787-803-2302
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Provider Business Mailing Address
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Address Line | 8 CALLE BARBOSA
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City | COAMO
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State | PR
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Zip | 00769-3266
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Country | US
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Telephone | 787-825-3019
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Fax | 787-803-2302
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Authorized Official
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Title or Position | OWNER
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Name | MS. FRANCES AVILES
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Credential | PT
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Telephone | 787-825-3019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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