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General NPI Number Information
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NPI Number | 1871979815
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Entity Type | Organization
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Legal Business Name | CENTRO DE TERAPIA FISICA DE SANTA ROSA
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Dates
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Enumeration Date | 07/31/2015
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Last Update Date | 09/14/2015
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Provider Practice Location Address
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Address Line | 10-2 AVE AGUAS BUENAS URB. SANTA ROSA
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City | BAYAMON
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State | PR
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Zip | 00959-6611
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Country | US
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Telephone | 787-780-5910
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 383
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City | BAYAMON
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State | PR
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Zip | 00960-0383
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Country | US
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Telephone | 787-780-5910
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATAOR
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Name | MS. CARMEN L AYBAR-OTERO
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Credential |
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Telephone | 787-780-5910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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