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General NPI Number Information
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NPI Number | 1629419197
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Entity Type | Organization
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Legal Business Name | UNIENDO NUESTRAS MANOS INC.
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 07/12/2013
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Provider Practice Location Address
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Address Line | 527 URB.COUNTRY CLUB QH 13
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City | CAROLINA
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State | PR
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Zip | 00982-2015
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Country | US
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Telephone | 787-674-0745
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Fax |
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Provider Business Mailing Address
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Address Line | 527 URB. COUTRY CLUB QH 13
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City | CAROLINA
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State | PR
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Zip | 00982-2015
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Country | US
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Telephone | 787-674-0745
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Fax |
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Authorized Official
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Title or Position | VICEPRESIDENT
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Name | CARLOS J HERNANDEZ
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Credential | VP
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Telephone | 787-674-0745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 4191873
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License Number State | PR
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