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General NPI Number Information
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NPI Number | 1861715302
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Entity Type | Organization
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Legal Business Name | MEDICAL SERVICES SOLUTIONS EAI CORP
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | CALLE CARACOL C8 URB VALLE COSTERO
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City | SANTA ISABEL
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State | PR
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Zip | 00757-0000
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Country | US
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Telephone | 787-669-5899
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Fax | 787-845-0458
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Provider Business Mailing Address
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Address Line | PO BOX 2055
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City | SALINAS
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State | PR
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Zip | 00751-2001
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Country | US
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Telephone | 787-669-5899
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Fax | 787-845-0458
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Authorized Official
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Title or Position | SOCIAL WORKER/ CLINIC
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Name | MRS. ANAIDA M RODRIGUEZ
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Credential | MSW
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Telephone | 787-669-5899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10178
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License Number State | PR
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