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General NPI Number Information
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NPI Number | 1689781700
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Entity Type | Organization
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Legal Business Name | EL SALVADOR MEDICAL AND HOMECARE EQUIPMENT, INC.
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | PLAZA JARDINES SUITE 7
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-807-1111
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Fax | 787-807-1111
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Provider Business Mailing Address
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Address Line | PO BOX 1450
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City | VEGA BAJA
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State | PR
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Zip | 00694-1450
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Country | US
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Telephone | 787-807-1111
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Fax | 787-807-1111
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Authorized Official
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Title or Position | PRESIDENTE
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Name | GUILLERMO GERARDO REYES-ORTIZ
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Credential |
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Telephone | 787-807-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 08P2350
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License Number State | PR
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