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General NPI Number Information
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NPI Number | 1730405937
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Entity Type | Organization
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Legal Business Name | G.A. NEW MAGICAL FRAME INC
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 04/13/2010
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Provider Practice Location Address
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Address Line | JOSE P. H. HERNANDEZ # 63
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City | HATILLO
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State | PR
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Zip | 00659-0000
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Country | US
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Telephone | 787-692-1332
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Fax |
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Provider Business Mailing Address
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Address Line | KM 1.2 INT C-8 URB BRISA TROPICAL CARR. 485
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City | QUEBRADILLAS
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State | PR
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Zip | 00678-0000
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Country | US
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Telephone | 787-692-1332
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE ALEJANDRO JIMENEZ
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Credential |
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Telephone | 787-692-1332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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