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General NPI Number Information
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NPI Number | 1427473131
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Entity Type | Organization
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Legal Business Name | SERENDIPIA INC
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 03/04/2014
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Provider Practice Location Address
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Address Line | 1410-2 JESUS T PINERO AVE
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-781-6653
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Fax |
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Provider Business Mailing Address
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Address Line | COND LAGOS DEL NORTE DEL LAGO AVE. APT. 1202
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City | TOA BAJA
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State | PR
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Zip | 00949-1606
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Country | US
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Telephone | 787-220-4034
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ROMMEL R ALFONSECA
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Credential | ED.D, P.P.L.
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Telephone | 787-220-4034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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