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General NPI Number Information
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NPI Number | 1427028018
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Entity Type | Organization
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Legal Business Name | CYRCORP
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18 CALLE BALDORIOTY
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City | CIDRA
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State | PR
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Zip | 00739-3455
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Country | US
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Telephone | 787-739-4472
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Fax | 787-739-9318
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Provider Business Mailing Address
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Address Line | PO BOX 1904
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City | CIDRA
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State | PR
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Zip | 00739-1904
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Country | US
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Telephone | 787-739-4472
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Fax | 787-739-9318
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MR. RAFAEL RIVERA
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Credential | RT
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Telephone | 787-739-4472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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