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General NPI Number Information
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NPI Number | 1396841193
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Entity Type | Organization
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Legal Business Name | CENTRO DE VACUNACION BETANCES
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | AVENIDA BETANCES #194 HERMANAS DAVILAS
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-638-5738
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Fax |
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Provider Business Mailing Address
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Address Line | 195 CALLE ALMACIGO MONTECASINO
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City | TOA ALTA
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State | PR
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Zip | 00953-3708
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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 | ADMINISTRADORA
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Name | DORIS SANTOS
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Credential |
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Telephone | 787-638-5738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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