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General NPI Number Information
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NPI Number | 1760529317
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Entity Type | Organization
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Legal Business Name | UNIVERSALLY TRAINED EMERGENCY
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 05/09/2011
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Provider Practice Location Address
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Address Line | FONT MARTELO AVE 355
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 787-850-2700
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Fax | 787-703-8102
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Provider Business Mailing Address
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Address Line | HC 02 BOX 10225
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City | JUNCOS
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State | PR
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Zip | 00777-9604
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Country | US
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Telephone | 787-850-2700
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Fax | 787-703-8102
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUAN HERNANDEZ
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Credential | MD
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Telephone | 787-223-6544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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