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General NPI Number Information
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NPI Number | 1679124135
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Entity Type | Organization
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Legal Business Name | MUNICIPIO DE SANTA ISABEL
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Dates
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Enumeration Date | 09/26/2019
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Last Update Date | 09/26/2019
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Provider Practice Location Address
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Address Line | CALLE HOSTOS #89 FINAL
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-845-4040
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Fax | 787-845-2027
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Provider Business Mailing Address
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Address Line | CALLE HOSTOS #3
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-845-4040
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Fax | 787-845-2027
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Authorized Official
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Title or Position | BILLING AGENT
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Name | RAUL RAMOS
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Credential | CPC
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Telephone | 787-424-8441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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