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General NPI Number Information
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NPI Number | 1841440781
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Entity Type | Organization
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Legal Business Name | PREMIER HEALTH SERVICES CORP
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | PMB 334-405 AVE ESMERALDA STE 2
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-789-3032
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Fax | 787-790-7018
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Provider Business Mailing Address
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Address Line | EL ALAMO EX-8 CALLE HERMOSILLO
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City | GUAYNABO
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State | PR
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Zip | 00969
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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 | VICE-PRESIDENT
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Name | BRENDA L SANTIAGO
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Credential |
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Telephone | 787-789-3032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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