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General NPI Number Information
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NPI Number | 1801345632
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Entity Type | Organization
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Legal Business Name | ANGEL THERAPY CENTER
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | L-41 AVE LAUREL SANTA JUANITA
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-785-6583
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Fax |
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Provider Business Mailing Address
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Address Line | L-41 AVE LAUREL SANTA JUANITA
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-413-0645
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS PATRICIA E. SILVA
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Credential | MPT
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Telephone | 787-785-6583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1051
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License Number State | PR
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