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General NPI Number Information
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NPI Number | 1770775553
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Entity Type | Organization
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Legal Business Name | CENTRO MAS SALUD JOSE S. BELAVAL
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | C NIM AVE BORINQUEN BO OBRERO
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City | SANTURCE
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State | PR
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Zip | 00915
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Country | US
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Telephone | 787-268-0072
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Fax | 787-721-7975
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Provider Business Mailing Address
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Address Line | C NIM AVE BORINQUEN BO OBRERO
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City | SANTURCE
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State | PR
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Zip | 00915
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Country | US
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Telephone | 787-268-0072
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Fax | 787-721-7975
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS MARITZA VEGA
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Credential | MSHA
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Telephone | 787-268-0072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | PR
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