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General NPI Number Information
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NPI Number | 1396152815
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Entity Type | Organization
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Legal Business Name | LIFE FORCE HEALTH ORGANIZATION INC
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | BO PASARELL NUM 21
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City | COMERIO
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State | PR
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Zip | 00782
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Country | US
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Telephone | 787-695-5556
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Fax | 787-875-4904
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Provider Business Mailing Address
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Address Line | PO BOX 356
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City | VEGA ALTA
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State | PR
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Zip | 00692-0356
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Country | US
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Telephone | 787-695-5556
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Fax | 787-875-4904
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Authorized Official
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Title or Position | PRESIDENTE
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Name | DR. LUIS M GONZALEZ BERMUDEZ
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Credential | MD
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Telephone | 787-316-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 309783
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License Number State | PR
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