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General NPI Number Information
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NPI Number | 1417770934
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Entity Type | Organization
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Legal Business Name | HOSPITAL DE LA CONCEPCION INC
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | CARR. PR-102 KM. 39.1
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City | SABANA GRANDE
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State | PR
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Zip | 00637-0000
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Country | US
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Telephone | 787-892-1860
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Fax | 787-892-4500
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Provider Business Mailing Address
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Address Line | PO BOX 285
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City | SAN GERMAN
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State | PR
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Zip | 00683-0285
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Country | US
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Telephone | 787-892-1860
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Fax | 787-892-4500
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FELICITA BONILLA RIVERA
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Credential |
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Telephone | 787-892-1860
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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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