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General NPI Number Information
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NPI Number | 1467672758
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Entity Type | Organization
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Legal Business Name | CAROLAS HOME CARE
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | BO. CAROLA CALLE 6 FINAL
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-887-8740
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Fax | 787-887-8740
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Provider Business Mailing Address
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Address Line | PO BOX 1663
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City | RIO GRANDE
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State | PR
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Zip | 00745-1663
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Country | US
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Telephone | 787-887-8740
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Fax | 787-887-8740
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS MARIA NEGRON APONTE
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Credential |
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Telephone | 787-887-8740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 764299
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License Number State | PR
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