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General NPI Number Information
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NPI Number | 1760842033
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Entity Type | Organization
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Legal Business Name | SOUTHERN HOSPITAL SERVICES, INC
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Dates
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Enumeration Date | 03/01/2016
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Last Update Date | 03/01/2016
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Provider Practice Location Address
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Address Line | CARR PR 153 ESQ PR 52 BO FELICIA 2
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-971-0040
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Fax | 787-845-8757
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Provider Business Mailing Address
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Address Line | PO BOX 1400
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City | JUANA DIAZ
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State | PR
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Zip | 00795-1400
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Country | US
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Telephone | 787-837-2265
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Fax | 787-260-1441
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Authorized Official
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Title or Position | VICE-PRESIDENTA OPERACIONES
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Name | MRS. DIANA MARIE TORRES COLON
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Credential |
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Telephone | 787-837-2265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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