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General NPI Number Information
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NPI Number | 1639390800
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Entity Type | Organization
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Legal Business Name | CENTRO MEDICINA FAMILIA HOSPITAL DR PILA
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/07/2008
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Provider Practice Location Address
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Address Line | RAMON POWER 7309
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City | PONCE
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State | PR
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Zip | 00717-1501
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Country | US
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Telephone | 787-844-6405
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Fax | 787-844-6400
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Provider Business Mailing Address
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Address Line | RAMON POWER 7309
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City | PONCE
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State | PR
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Zip | 00717-1501
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Country | US
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Telephone | 787-844-6405
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Fax | 787-844-6400
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. RENTAS RODRIGUAZ BLANCA
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Credential |
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Telephone | 787-844-6405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 13881
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License Number State | PR
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