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General NPI Number Information
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NPI Number | 1710357405
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Entity Type | Organization
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Legal Business Name | REHABILITACION FISICA DEL OESTE, CORP
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | CARR 411 2.8 INT BO JAGUEY
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-385-1393
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 226
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City | AGUADA
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State | PR
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Zip | 00602-0226
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | IVONNE SOTO
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Credential |
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Telephone | 787-385-1393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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