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General NPI Number Information
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NPI Number | 1407162662
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Entity Type | Organization
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Legal Business Name | WCHM INC
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 8269 AVE JOBOS
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City | ISABELA
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State | PR
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Zip | 00662-2227
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Country | US
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Telephone | 787-872-2113
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Fax | 787-830-7839
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Provider Business Mailing Address
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Address Line | 8269 AVE JOBOS
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City | ISABELA
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State | PR
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Zip | 00662-2227
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Country | US
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Telephone | 787-872-2113
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Fax | 787-830-7839
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARLOS E GUEVARA
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Credential |
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Telephone | 787-872-2113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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