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General NPI Number Information
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NPI Number | 1467546572
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Entity Type | Organization
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Legal Business Name | GOBIERNO MUNICIPAL DE CIDRA
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | SALIDA HOIA AGUAS BUENAS COMPLEJO DEPORTIUO
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City | CIDRA
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State | PR
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Zip | 00739-0729
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Country | US
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Telephone | 787-739-2375
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Fax | 787-369-7990
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Provider Business Mailing Address
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Address Line | APARTADO 729
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City | CIDRA
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State | PR
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Zip | 00739-0729
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Country | US
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Telephone | 787-739-2395
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Fax | 787-369-7990
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ADALBERTO REYES
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Credential |
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Telephone | 787-434-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | TC-AMB-223
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | PR
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