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General NPI Number Information
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NPI Number | 1376947267
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Entity Type | Organization
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Legal Business Name | CLINICA DE MEDICINA FISICA Y ELECTRODIAGNOSTICO INC.
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Dates
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Enumeration Date | 10/21/2014
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | RD#2 KM 133.5 CENTERPLEX BLD SUITE 103
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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 | 787-891-4833
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Fax | 787-882-5405
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Provider Business Mailing Address
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Address Line | 114 CALLE CENTRAL
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City | AGUADA
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State | PR
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Zip | 00602-8697
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Country | US
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Telephone | 787-891-4833
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Fax | 787-882-5405
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANCISCO L PEREIRA
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Credential |
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Telephone | 787-385-8543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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