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General NPI Number Information
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NPI Number | 1487852661
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Entity Type | Organization
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Legal Business Name | BPS & TRAUMA'S LINE
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | CALLE JOSE BENITEZ #222
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City | PONCE
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State | PR
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Zip | 00931
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Country | US
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Telephone | 787-202-5437
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Fax |
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Provider Business Mailing Address
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Address Line | HC 01 BOX 322
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City | PONCE
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State | PR
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Zip | 00731
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Country | US
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Telephone | 787-202-5437
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Fax |
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Authorized Official
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Title or Position | OWNERS
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Name | MR. JUAN RODRIGUEZ
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Credential |
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Telephone | 787-923-2927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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