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General NPI Number Information
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NPI Number | 1699135228
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Entity Type | Organization
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Legal Business Name | A&P MEDICAL GROUP
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Dates
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Enumeration Date | 02/24/2016
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 23 CALLE AMATISTA VILLA BLANCA
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-678-6224
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Fax |
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Provider Business Mailing Address
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Address Line | 2 CALLE AQUAMARINA # VILLA
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City | CAGUAS
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State | PR
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Zip | 00725-1944
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Country | US
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Telephone | 787-678-6224
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL H DIXON SELLES
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Credential |
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Telephone | 787-678-6224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 9418
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License Number State | PR
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