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General NPI Number Information
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NPI Number | 1588445654
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Entity Type | Organization
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Legal Business Name | BONILLA TRANSPORT SERVICES INC.
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Dates
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Enumeration Date | 10/13/2023
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | CARR 416 KM 5.2 BO PIEDRAS BLANCAS SECTOR LA MINA
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-484-9291
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Fax | 939-291-0071
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Provider Business Mailing Address
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Address Line | HC 56 BOX 4359
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City | AGUADA
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State | PR
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Zip | 00602-8606
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Country | US
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Telephone | 787-484-9291
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Fax | 939-291-0071
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Authorized Official
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Title or Position | OWNER
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Name | JAVIER BONILLA
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Credential |
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Telephone | 787-484-9291
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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 |
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License Number State |
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