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General NPI Number Information
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NPI Number | 1831761782
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Entity Type | Organization
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Legal Business Name | SOOMOS INC
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 359 AVE SAN CLAUDIO CUPEY PROFESSIONAL MALL SUITE 107
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-946-4010
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE 11 NUM I15 CUPEY GARDENS
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ADA R GOMEZ APONTE
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Credential | MD
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Telephone | 787-674-9821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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