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General NPI Number Information
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NPI Number | 1629304787
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Entity Type | Organization
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Legal Business Name | UNIVERSIDAD INTERAMERICANA
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Dates
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Enumeration Date | 10/26/2009
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 384 ZONA IND REPARADA 2
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City | PONCE
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State | PR
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Zip | 00716-2347
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Country | US
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Telephone | 787-842-6767
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Fax |
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Provider Business Mailing Address
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Address Line | 384 ZONA IND REPARADA 2
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City | PONCE
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State | PR
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Zip | 00716-2347
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Country | US
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Telephone | 787-842-6767
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PAUL HERNANDEZ
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Credential |
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Telephone | 787-842-6767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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