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General NPI Number Information
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NPI Number | 1730621186
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Entity Type | Organization
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Legal Business Name | CARDIOPACE PSC
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Dates
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Enumeration Date | 11/15/2016
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 50 AVE LUIS MUNOZ MARIN STE 303
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City | CAGUAS
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State | PR
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Zip | 00725-3975
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Country | US
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Telephone | 787-745-2666
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Fax | 787-745-2662
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Provider Business Mailing Address
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Address Line | 50 AVE LUIS MUNOZ MARIN STE 303
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City | CAGUAS
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State | PR
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Zip | 00725-3975
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Country | US
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Telephone | 787-745-2666
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Fax | 787-745-2662
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Authorized Official
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Title or Position | ADMINISTRADORA
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Name | MISS SANDRA LOPEZ
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Credential |
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Telephone | 787-745-2666
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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 | 10524
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License Number State | PR
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