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General NPI Number Information
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NPI Number | 1669402632
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Entity Type | Organization
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Legal Business Name | FOUNDACION DR MANUEL DE LA PILA IGELSIAS
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 2413 AVE LAS AMERICAS HOSP ITAL DR. PILA HOME HEALTH PROGRAM
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City | PONCE
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State | PR
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Zip | 00717-2113
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Country | US
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Telephone | 787-848-6980
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Fax | 787-844-8280
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Provider Business Mailing Address
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Address Line | 2413 AVE LAS AMERICAS HOSP ITAL DR. PILA HOME HEALTH PROGRAM
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City | PONCE
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State | PR
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Zip | 00717-2113
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Country | US
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Telephone | 787-848-6980
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Fax | 787-844-8280
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Authorized Official
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Title or Position | PRESIDENT GOVERNMENT BODY
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Name | MR. HUMBERTO LABOY
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Credential | CPA
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Telephone | 787-848-4617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 80664
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License Number State | PR
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