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General NPI Number Information
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NPI Number | 1568565547
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Entity Type | Organization
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Legal Business Name | RECINTO DE CIENCIAS MEDICAS
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | AVE.AMERICO MIRANDA CENTRO MEDICO DE PR EDIF. PRINCIPAL ESCUELA DE MEDICINA APTDO.29134
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City | SAN JUAN
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State | PR
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Zip | 00936-0134
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Country | US
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Telephone | 787-758-2525
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Fax | 787-274-8154
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Provider Business Mailing Address
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Address Line | PO BOX 29134
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City | SAN JUAN
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State | PR
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Zip | 00929-0134
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Country | US
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Telephone | 787-758-2525
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Fax | 787-274-8154
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | MRS. MYRIAM TROCHE
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Credential | RHIA
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Telephone | 787-758-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207YX0901X
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Taxonomy Name | Otology & Neurotology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State |
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