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General NPI Number Information
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NPI Number | 1710187596
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Entity Type | Organization
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Legal Business Name | HOGAR VILLAS DEL TOA
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 500 PASEO MONACO APTO 17 EDIF 9
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City | BAYAMON
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State | PR
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Zip | 00956-9773
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Country | US
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Telephone | 787-730-8333
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Fax | 787-279-1585
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Provider Business Mailing Address
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Address Line | RR7 B0X 16594
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-730-8333
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Fax | 787-279-1585
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. NANCY SANCHEZ
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Credential |
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Telephone | 787-730-8333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number |
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License Number State | PR
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