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General NPI Number Information
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NPI Number | 1487013389
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Entity Type | Organization
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Legal Business Name | SANTA CLARA HEMAONCO PSC
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Dates
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Enumeration Date | 02/19/2016
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Last Update Date | 02/19/2016
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Provider Practice Location Address
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Address Line | 500 AVE DEGETAU HIMA PLAZA 1 SUITE 702
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City | CAGUAS
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State | PR
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Zip | 00725-7303
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Country | US
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Telephone | 939-337-8107
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Fax | 939-337-8108
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Provider Business Mailing Address
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Address Line | 59 CALLE CEREZO FINCA ELENA
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City | GUAYNABO
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State | PR
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Zip | 00791-0000
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Country | US
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Telephone | 787-381-5858
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA V GARCIA PALLAS
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Credential | MD
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Telephone | 787-383-2824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 15941
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number | 15941
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License Number State | PR
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