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General NPI Number Information
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NPI Number | 1659601516
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Entity Type | Organization
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Legal Business Name | GRUPO MEDICO DE RIO HONDO Y LEVITTOWN, PSC
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Dates
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Enumeration Date | 12/28/2009
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | AVE BOULEVARD 2692 2DA SECCION LEVITTOWN
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-261-8181
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Fax | 787-261-8282
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Provider Business Mailing Address
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Address Line | AVE BOULEVARD 2692 2DA SECCION LEVITTOWN
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-261-8181
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Fax | 787-261-8282
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ALAN A ZARRUK
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Credential | MD
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Telephone | 787-784-5899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 8996
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License Number State | PR
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