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General NPI Number Information
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NPI Number | 1841436425
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Entity Type | Organization
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Legal Business Name | ASILO DE ENVEJECIENTES AYUDA DE AMOR
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Dates
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Enumeration Date | 01/02/2009
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Last Update Date | 01/02/2009
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Provider Practice Location Address
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Address Line | BO OLIMPO SECTOR KAIMITAL
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City | GUAYAMA
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State | PR
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Zip | 00785
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Country | US
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Telephone | 787-864-5510
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2441
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City | GUAYAMA
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State | PR
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Zip | 00784
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Country | US
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Telephone | 787-864-5510
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Fax |
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Authorized Official
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Title or Position | ADMINISTRADORA
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Name | MS. IDELIZA TORRES
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Credential |
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Telephone | 787-864-5510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 121
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License Number State | PR
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