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General NPI Number Information
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NPI Number | 1801050596
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Entity Type | Organization
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Legal Business Name | BAYAMON HEALTH CENTER
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | STREET MANUEL F. ROSSY, ESQ. ISABEL II
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City | BAYAMON
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State | PR
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Zip | 00960-2759
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Country | US
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Telephone | 787-995-1911
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Fax | 787-798-0340
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Provider Business Mailing Address
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Address Line | PO BOX 2759
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City | BAYAMON
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State | PR
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Zip | 00960-2759
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Country | US
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Telephone | 787-995-1911
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Fax | 787-798-0340
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Authorized Official
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Title or Position | DIRECTOR EXECUTIVE
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Name | MISS TAMARA BEHAR YBARRA
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Credential | MD
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Telephone | 787-995-1911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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