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General NPI Number Information
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NPI Number | 1457606717
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Entity Type | Organization
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Legal Business Name | INSTITUTO DE OTORRINOLARINGOLOGIA DEL CARIBE, CSP
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Dates
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Enumeration Date | 07/23/2012
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 2225 PONCE BY PASS SUITE 502 PARRA MEDICAL INSTITUTE
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City | PONCE
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State | PR
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Zip | 00717-1379
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Country | US
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Telephone | 787-259-4233
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7184
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City | PONCE
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State | PR
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Zip | 00732-7184
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Country | US
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Telephone | 787-259-4233
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Fax | 787-259-4235
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Authorized Official
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Title or Position | PRESIDENTE INSTITUTO DE OTORRINOLAR
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Name | DR. HECTOR M SANTINI
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Credential | M.D.
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Telephone | 787-259-4233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 7781
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License Number State | PR
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