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General NPI Number Information
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NPI Number | 1396517447
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Entity Type | Organization
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Legal Business Name | UNIMED HEALTH SISTEM S. A.
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | CONTIGUO AL HOTEL MAGIC MOUNTAIN
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City | LA FORTUNA DE SAN CARLOS
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State | ALAJUELA
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Zip | 21007
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Country | CR
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Telephone | 332-833-7921
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 39192
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City | FORT LAUDERDALE
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State | FL
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Zip | 33339-9192
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | JESUS PIOQUINTO
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Credential |
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Telephone | 332-833-7921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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