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General NPI Number Information
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NPI Number | 1619293438
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Entity Type | Organization
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Legal Business Name | MEDSCAN, PSC
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 05/03/2010
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Provider Practice Location Address
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Address Line | 1801 AVE PONCE DE LEON
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City | SANTURCE
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State | PR
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Zip | 00909-1900
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Country | US
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Telephone | 787-740-3010
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Fax | 787-740-3009
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Provider Business Mailing Address
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Address Line | A8 AVE 65 INFANTERIA
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City | SAN JUAN
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State | PR
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Zip | 00926-1834
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Country | US
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Telephone | 787-740-3010
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Fax | 787-740-3009
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Authorized Official
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Title or Position | FACTURADORA MEDICA
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Name | GISELLE MARTINEZ
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Credential |
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Telephone | 787-740-3010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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