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General NPI Number Information
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NPI Number | 1780940528
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Entity Type | Organization
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Legal Business Name | MUNICIPIO DE LAS PIEDRAS
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | CARR 198 KM 22.2 BO. MONTONES 1
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City | LAS PIEDRAS
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State | PR
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Zip | 00771
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Country | US
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Telephone | 787-733-8969
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Fax | 787-716-0055
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | LAS PIEDRAS
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State | PR
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Zip | 00771-0068
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Country | US
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Telephone | 787-733-8969
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Fax | 787-716-0055
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LOURDES MARTINEZ
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Credential |
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Telephone | 787-733-8969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | 28
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License Number State | PR
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