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General NPI Number Information
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NPI Number | 1497828289
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Entity Type | Organization
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Legal Business Name | MEDSCAN
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | A8 AVE 65 INFANTERIA URB SAN AGUSTIN
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City | SAN JUAN
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State | PR
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Zip | 00924-1834
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Country | US
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Telephone | 787-207-0057
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29460
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City | SAN JUAN
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State | PR
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Zip | 00929-0460
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Country | US
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Telephone | 787-740-3010
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Fax | 787-740-3009
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM JAVIER CRUZ
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Credential | M.D.
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Telephone | 787-740-3010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 14164
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License Number State | PR
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