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General NPI Number Information
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NPI Number | 1407308414
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Entity Type | Organization
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Legal Business Name | FAMILY CLINICAL RESEARCH CORPORATION
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | R511 SANCHEZ OSORIO AVENUE 2T
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City | CAROLINA
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State | PR
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Zip | 00983-3205
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Country | US
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Telephone | 787-757-8065
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Fax | 787-768-8392
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Provider Business Mailing Address
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Address Line | PO BOX 1626
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City | CAROLINA
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State | PR
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Zip | 00984-1626
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Country | US
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Telephone | 787-757-8065
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Fax | 787-768-8392
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANCISCO ABREU
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Credential | MD
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Telephone | 787-757-8065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 4445
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License Number State | PR
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