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General NPI Number Information
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NPI Number | 1750429890
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Entity Type | Organization
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Legal Business Name | ATENAS LITOTRIPSY
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 03/12/2009
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Provider Practice Location Address
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Address Line | HOSPITAL DOCTO'S CENTER CARR. 2, KM. 47.4
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City | MANATI
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State | PR
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Zip | 00674
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Country | US
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Telephone | 787-621-3318
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Fax | 787-621-3342
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Provider Business Mailing Address
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Address Line | PO BOX 1442
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City | MANATI
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State | PR
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Zip | 00674
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Country | US
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Telephone | 787-621-3318
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Fax | 787-621-3342
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Authorized Official
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Title or Position | PRESIDENTE
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Name | DR. LUIS VIERA CABAN
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Credential | M.D.
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Telephone | 787-621-3318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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