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General NPI Number Information
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NPI Number | 1760638555
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Entity Type | Organization
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Legal Business Name | POLICLINICA DEL ATLANTICO
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Dates
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Enumeration Date | 08/12/2008
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | CARR. #2 K.M. 111.2 BO. MORA
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City | ISABELA
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State | PR
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Zip | 00662
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Country | US
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Telephone | 787-830-7737
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Fax | 787-830-7839
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Provider Business Mailing Address
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Address Line | PMB 226 PO BOX 80,000
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City | ISABELA
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State | PR
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Zip | 00662
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Country | US
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Telephone | 787-830-7737
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Fax | 787-830-7839
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADRIAN GIRALD IV
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Credential | M.D.
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Telephone | 787-830-7737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1149
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License Number State | PR
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