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General NPI Number Information
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NPI Number | 1770911190
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Entity Type | Organization
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Legal Business Name | OFICINA PRO AYUDA A PERSONAS CON IMPEDIMENTOS, INC,
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Dates
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Enumeration Date | 10/22/2013
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Last Update Date | 10/22/2013
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Provider Practice Location Address
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Address Line | 15 CALLE SOLEDAD
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-809-1165
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Fax | 787-809-0670
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Provider Business Mailing Address
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Address Line | PO BOX 1089
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City | RIO GRANDE
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State | PR
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Zip | 00745-1089
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Country | US
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Telephone | 787-809-1165
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Fax | 787-888-0670
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. RAFAEL M. GARCIA
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Credential |
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Telephone | 787-525-3041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 683995
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License Number State | PR
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