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General NPI Number Information
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NPI Number | 1700681004
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Entity Type | Organization
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Legal Business Name | AS NEUROLOGY LLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 715 AVE PONCE DE LEON PARADA 37.5 HOSP AUXILIO MUTUO CLINICAS SUBESPECIALISTAS PEDIATRICA
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City | SAN JUAN
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State | PR
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Zip | 00917-5032
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Country | US
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Telephone | 787-758-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 15 AVE MUNOZ RIVERA STE 100-B PMB 120
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City | SAN JUAN
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State | PR
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Zip | 00901-2480
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Country | US
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Telephone | 787-758-2000
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Fax | 787-648-8635
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDRA R SANTANA ALMANSA
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Credential | MD
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Telephone | 787-758-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number |
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License Number State |
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