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General NPI Number Information
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NPI Number | 1780830760
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Entity Type | Organization
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Legal Business Name | CORP. SERVICIOS ANA DE LLAVES
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Dates
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Enumeration Date | 08/11/2008
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Last Update Date | 08/11/2008
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Provider Practice Location Address
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Address Line | CARR 181 KM 2.2 BP LAS CUEVAS
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976
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Country | US
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Telephone | 787-292-1020
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Fax | 787-292-1211
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Provider Business Mailing Address
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Address Line | PO BOX 892
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City | TRUJILLO ALTO
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State | PR
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Zip | 00977-0892
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Country | US
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Telephone | 787-292-1020
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Fax | 787-292-1211
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Authorized Official
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Title or Position | CEO
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Name | MR. JORGE I VALENTIN
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Credential |
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Telephone | 787-292-1020
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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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