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General NPI Number Information
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NPI Number | 1700126109
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Entity Type | Organization
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Legal Business Name | SOLUTION MEDICAL GROUP
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Dates
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Enumeration Date | 02/21/2013
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 11 AVE SIMON MADERA
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City | SAN JUAN
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State | PR
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Zip | 00924-2231
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Country | US
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Telephone | 787-420-4054
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Fax | 787-653-9683
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Provider Business Mailing Address
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Address Line | HACIENDA SAN JOSE VIA HERMITA STREET # 781
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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 | 787-420-4054
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Fax | 787-653-9683
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Authorized Official
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Title or Position | INCORPORADOR
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Name | MR. REYNALDO PEZZOTTI
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Credential | M.D.
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Telephone | 787-420-4054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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