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General NPI Number Information
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NPI Number | 1417684663
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Entity Type | Organization
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Legal Business Name | PATRIA Y CULTURA INC.
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Dates
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Enumeration Date | 08/05/2022
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 66 BO SAN ANTON
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City | PONCE
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State | PR
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Zip | 00717-2248
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Country | US
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Telephone | 347-581-1778
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 66
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City | PONCE
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State | PR
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Zip | 00715-0066
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Country | US
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Telephone | 347-581-1778
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Fax |
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | ARMANDO PACHECO
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Credential |
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Telephone | 347-581-1778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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