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General NPI Number Information
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NPI Number | 1710538467
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Entity Type | Organization
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Legal Business Name | ALBERTO AGRON
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Dates
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Enumeration Date | 09/24/2019
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Last Update Date | 12/26/2019
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Provider Practice Location Address
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Address Line | CARR 401 BO PLAYA
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City | ANASCO
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State | PR
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Zip | 00610-9709
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Country | US
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Telephone | 787-436-2826
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Fax |
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Provider Business Mailing Address
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Address Line | RR 1 BOX 270
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City | ANASCO
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State | PR
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Zip | 00610-9709
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Country | US
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Telephone | 787-436-2826
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALBERTO LUIS AGRON SR.
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Credential |
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Telephone | 787-436-2826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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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 | 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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