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General NPI Number Information
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NPI Number | 1740653229
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Entity Type | Organization
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Legal Business Name | KIANA MED SERV INC
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 529 CALLE W MORALES URB ESTANCIAS DEL GOLF
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City | PONCE
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State | PR
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Zip | 00730
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Country | US
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Telephone | 787-601-3729
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8243
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City | PONCE
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State | PR
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Zip | 00732-8243
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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 | DR. ENRIQUE RODRIGUEZ OCANA
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Credential |
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Telephone | 787-601-3729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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