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General NPI Number Information
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NPI Number | 1700505377
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Entity Type | Organization
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Legal Business Name | MEDICAL SERVICE LLC
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | ESTANCIA DE LOS ATESANOS CALLE SERIGRAFIA O-43
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City | LAS PIEDRAS
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State | PR
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Zip | 00771
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Country | US
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Telephone | 787-604-6563
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Fax |
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Provider Business Mailing Address
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Address Line | EST 229 DE LOS ARTESANOS CALLE SERIGRAFIA O- 43
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City | LAS PIEDRAS
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State | PR
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Zip | 00771
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Country | US
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Telephone | 787-604-6563
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | JOEL GUADALUPE
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Credential |
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Telephone | 787-604-6563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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