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General NPI Number Information
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NPI Number | 1770703845
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Entity Type | Organization
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Legal Business Name | DEPARTAMENTO DE SALUD OFICIAL
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | CARR 997 KM 0 HM 1 BO DESTINO
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City | VIEQUES
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State | PR
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Zip | 00765
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Country | US
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Telephone | 787-741-0392
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Fax | 787-741-0398
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Provider Business Mailing Address
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Address Line | P O BOX 326
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City | VIEQUES
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State | PR
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Zip | 00765
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Country | US
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Telephone | 787-741-0392
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Fax | 787-741-0398
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Authorized Official
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Title or Position | DIRECTORA MEDICA
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Name | MRS. BETZAIDA MACKENZIE
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Credential | M.D.
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Telephone | 787-741-2165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 24
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License Number State | PR
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