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General NPI Number Information
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NPI Number | 1811705676
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Entity Type | Organization
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Legal Business Name | HOSPITAL REAL SAN LUCAS OF MEXICO
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | AV LUIS DONALDOCOLOCIO 863
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City | LA GLORIA TEPATITLAN DE MORALES
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State | JALISCO
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Zip | 47670
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Country | MX
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Telephone | 378-688-1829
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 220
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City | MORGANVILLE
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State | NJ
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Zip | 07751-0220
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Country | US
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Telephone | 732-640-2227
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Fax | 732-640-2230
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | PATRICIA GELBERG
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Credential |
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Telephone | 732-640-2227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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