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General NPI Number Information
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NPI Number | 1811074958
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Entity Type | Organization
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Legal Business Name | TERAPIA FISICA ELMAR INC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/11/2013
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Provider Practice Location Address
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Address Line | CAR 2 KM 62.8 SECTOR CANDELARIA BO SABANA HOYOS
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 787-975-7441
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Fax | 787-881-5572
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Provider Business Mailing Address
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Address Line | PO BOX 144036
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City | ARECIBO
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State | PR
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Zip | 00614-4036
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Country | US
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Telephone | 787-975-7441
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Fax | 787-881-5572
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EMMANUELLE VENDRELL
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Credential |
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Telephone | 787-224-4185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 153107
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License Number State | PR
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