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General NPI Number Information
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NPI Number | 1841632171
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Entity Type | Organization
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Legal Business Name | EFREN NAVIA SANTIAGO
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Dates
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Enumeration Date | 07/29/2013
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | CALLE 39 BC1 RESVILLE
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City | BAYAMON
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State | PR
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Zip | 00957
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Country | US
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Telephone | 787-797-1737
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 607071 NUM 5
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City | BAYAMON
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State | PR
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Zip | 00960-7071
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Country | US
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Telephone | 787-797-1737
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EFREN NAVIA
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Credential |
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Telephone | 787-797-1737
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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 | TC AMB 119
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License Number State | PR
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