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General NPI Number Information
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NPI Number | 1427124130
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Entity Type | Organization
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Legal Business Name | MUNICIPIO DE JAYUYA
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 08/20/2008
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Provider Practice Location Address
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Address Line | 2 CALLE CEMENTERIO
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City | JAYUYA
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State | PR
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Zip | 00664-1452
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Country | US
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Telephone | 787-828-0259
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Fax | 787-828-0259
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Provider Business Mailing Address
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Address Line | 2 CALLE CEMENTERIO P O BOX 488
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City | JAYUYA
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State | PR
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Zip | 00664-1452
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Country | US
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Telephone | 787-828-0919
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Fax | 787-828-0259
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. WANDA ZAMORA
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Credential |
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Telephone | 787-828-0919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number | 9164
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License Number State | PR
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