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General NPI Number Information
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NPI Number | 1487397782
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Entity Type | Organization
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Legal Business Name | TRUE LIFE MEDICAL CORP
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 04/15/2022
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Provider Practice Location Address
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Address Line | BO COLLORES CARRETERA 140 KM 6.5
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City | JAYUYA
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State | PR
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Zip | 00664
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Country | US
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Telephone | 787-400-4305
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 8556
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City | JAYUYA
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State | PR
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Zip | 00664-9661
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Country | US
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Telephone | 787-400-4305
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAIME RODRIGUEZ MORALES SR.
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Credential |
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Telephone | 787-400-4305
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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 |
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License Number State |
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