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General NPI Number Information
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NPI Number | 1679592539
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Entity Type | Organization
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Legal Business Name | ISLAND ORTHOPEDIC SUPPLIES, INC.
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13 CALLE RIO N
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City | MAYAGUEZ
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State | PR
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Zip | 00680-4814
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Country | US
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Telephone | 787-833-7988
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Fax | 787-832-2484
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Provider Business Mailing Address
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Address Line | 13 CALLE RIO N
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City | MAYAGUEZ
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State | PR
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Zip | 00680-4814
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Country | US
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Telephone | 787-833-7988
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Fax | 787-832-2484
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LUZ CEPEDA
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Credential |
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Telephone | 787-833-7988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | PR
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