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General NPI Number Information
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NPI Number | 1588809735
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Entity Type | Organization
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Legal Business Name | VA MEDICAL CENTER
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Dates
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Enumeration Date | 12/02/2008
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 10 CALLE CASIA SAN JUAN PR
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City | SAN JUAN
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State | PR
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Zip | 00921-3200
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Country | US
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Telephone | 787-641-7582
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CALLE CASIA SAN JUAN PR
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City | SAN JUAN
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State | PR
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Zip | 00921-3200
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Country | US
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Telephone | 787-641-7582
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Fax |
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Authorized Official
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Title or Position | CHIEF PSAS
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Name | PABLO LOPEZ
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Credential |
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Telephone | 787-641-7582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | CP003225
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License Number State | PR
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