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General NPI Number Information
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NPI Number | 1578750527
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Entity Type | Organization
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Legal Business Name | RJ&RMAMBULANCE INC
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | CARR 182 K4 H1 PARCELAS ROSA SANCHEZ #15
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City | YABUCOA
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State | PR
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Zip | 00767-0000
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Country | US
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Telephone | 787-613-6058
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Fax | 787-266-3479
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Provider Business Mailing Address
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Address Line | PO BOX 978
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City | YABUCOA
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State | PR
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Zip | 00767-0978
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Country | US
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Telephone | 787-613-6058
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Fax | 787-266-3479
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Authorized Official
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Title or Position | PRESIDENTE
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Name | MR. RAFAEL E RIVERA
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Credential |
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Telephone | 787-613-6058
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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 | 1742357
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License Number State | PR
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