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General NPI Number Information
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NPI Number | 1700020344
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Entity Type | Organization
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Legal Business Name | SERVICIOS PULMONARES PROFESIONALES
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 04/27/2009
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Provider Practice Location Address
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Address Line | CALLE SANTA CRUZ # 73, EDIFICIO MEDICO SANTA CRUZ OFICINA 202
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-740-6294
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Fax | 787-740-6294
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Provider Business Mailing Address
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Address Line | CALLE SANTA CRUZ # 73, EDIFICIO MEDICO SANTA CRUZ OFICINA 202
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-740-6294
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Fax | 787-740-6294
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANCISCO E CARRO
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Credential | MD
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Telephone | 787-740-6294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 9391
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License Number State | PR
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