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General NPI Number Information
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NPI Number | 1588707012
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Entity Type | Organization
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Legal Business Name | VASCULAR INTERPRETATION GROUP PSC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/01/2014
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Provider Practice Location Address
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Address Line | 405A CALLE MONTILLA URB PARQUE CENTRAL
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City | SAN JUAN
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State | PR
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Zip | 00918-2607
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Country | US
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Telephone | 787-250-7157
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Fax |
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Provider Business Mailing Address
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Address Line | 405A CALLE MONTILLA URB PARQUE CENTRAL
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City | SAN JUAN
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State | PR
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Zip | 00918-2607
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Country | US
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Telephone | 787-250-7157
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOSE CARLOS COLON
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Credential |
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Telephone | 787-250-7157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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