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General NPI Number Information
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NPI Number | 1861622771
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Entity Type | Individual
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Provider Name | REYNALDO COSME
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Gender | Male
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 07/27/2009
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Provider Practice Location Address
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Address Line | CALLE 29 AV 237 JARDINES DE RIO GRANDE
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-596-7475
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE 29 AV 237 JARDINES DE RIO GRANDE
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City | RIO GRANDE
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State | PR
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Zip | 00745
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number |
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License Number State |
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