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General NPI Number Information
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NPI Number | 1568655033
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Entity Type | Organization
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Legal Business Name | SAN LUKES EPISCOPAL HOSPITAL
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Dates
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Enumeration Date | 08/19/2007
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Last Update Date | 08/19/2007
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Provider Practice Location Address
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Address Line | H6 CALLE 3 LOS ROSALES
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City | HUMACAO
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State | PR
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Zip | 00791-3114
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Country | US
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Telephone | 787-247-2427
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Fax |
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Provider Business Mailing Address
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Address Line | H6 CALLE 3 LOS ROSALES
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City | HUMACAO
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State | PR
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Zip | 00791-3114
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Country | US
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Telephone | 787-247-2427
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | AURELIO GARCIA MEDINA
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Credential | MD
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Telephone | 787-247-2427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 16565
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License Number State | PR
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