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General NPI Number Information
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NPI Number | 1700133568
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Entity Type | Organization
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Legal Business Name | CENTRO NUEVA ESTRELLA INC.
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Dates
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Enumeration Date | 08/11/2012
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Last Update Date | 08/11/2012
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Provider Practice Location Address
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Address Line | 75A CALLE BEGONIA
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City | VEGA BAJA
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State | PR
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Zip | 00693-4118
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Country | US
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Telephone | 787-604-6918
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2312
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City | VEGA BAJA
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State | PR
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Zip | 00694-2312
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Country | US
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Telephone | 787-604-6918
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Fax |
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Authorized Official
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Title or Position | REGISTRED NURSE
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Name | MISS ARLENE YOLANDA TORRES
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Credential | R.N.
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Telephone | 787-604-6918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 347695
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License Number State | PR
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