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General NPI Number Information
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NPI Number | 1891898342
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Entity Type | Organization
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Legal Business Name | KASAMEDICA
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CARR 2 KM17.3 SAN GERMAN MEDICAL PLAZA
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City | SAN GERMAN
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State | PR
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Zip | 00683-2173
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Country | US
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Telephone | 787-264-2275
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Fax |
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Provider Business Mailing Address
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Address Line | HC 01 BOX 25703
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City | SAN GERMAN
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State | PR
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Zip | 00683-2570
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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 | PRESIDENT
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Name | IVY ENID ROMAN
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Credential |
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Telephone | 787-264-2275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5145310001
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License Number State |
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