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General NPI Number Information
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NPI Number | 1801018056
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Entity Type | Organization
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Legal Business Name | VERONICA IRIZARRY RODRIGUEZ
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/27/2009
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Provider Practice Location Address
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Address Line | CALLE MONSENOR TORRES OFICINA # 2
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City | MOCA
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State | PR
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Zip | 00676
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Country | US
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Telephone | 787-818-0033
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4003 PMB 129
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City | MOCA
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State | PR
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Zip | 00676-8009
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Country | US
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Telephone | 787-818-0033
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VERONICA IRIZARRY
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Credential |
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Telephone | 787-818-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | TC AMB 393
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License Number State | PR
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