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General NPI Number Information
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NPI Number | 1831873579
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Entity Type | Organization
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Legal Business Name | ALBALADEJO GROUP LLC
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Dates
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Enumeration Date | 06/13/2023
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | CARR 2 KM 25.7 SECTOR LAGUNA II BO ESPINOSA
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-413-2171
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 477
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City | VEGA ALTA
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State | PR
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Zip | 00692-0477
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Country | US
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Telephone | 787-413-2171
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | JOSE ALBALADEJO VAZQUEZ
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Credential |
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Telephone | 787-413-2171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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