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General NPI Number Information
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NPI Number | 1770625659
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Entity Type | Organization
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Legal Business Name | MUNICIPIO DE VEGA ALTA
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/31/2020
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Provider Practice Location Address
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Address Line | ROAD NUMBER 2 K 30.8
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City | VEGA ALTA
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State | PR
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Zip | 00692-1390
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Country | US
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Telephone | 787-883-4837
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Fax | 787-270-1385
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Provider Business Mailing Address
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Address Line | PO BOX 1390
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City | VEGA ALTA
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State | PR
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Zip | 00692-1390
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Country | US
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Telephone | 787-883-4837
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Fax | 787-270-1385
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Authorized Official
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Title or Position | DIRECTOR
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Name | ANGEL M OTERO
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Credential |
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Telephone | 787-883-4837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | TCAMB443
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License Number State | PR
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