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General NPI Number Information
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NPI Number | 1518248400
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Entity Type | Organization
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Legal Business Name | ALE CORPORATION
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | URB. QUINTAS DEL REY CALLE DINAMARCA J-12
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City | SAN GERMAN
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State | PR
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Zip | 00683-4674
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Country | US
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Telephone | 939-717-5284
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Fax |
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Provider Business Mailing Address
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Address Line | 20 LOMA LINDA
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City | SAN GERMAN
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State | PR
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Zip | 00683-4674
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Country | US
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Telephone | 787-892-3978
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NILVER PEREZ
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Credential | M.D.
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Telephone | 787-892-5943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 016179
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License Number State | PR
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