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General NPI Number Information
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NPI Number | 1902099278
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Entity Type | Organization
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Legal Business Name | CENTRO FISIATRICO DR ANGEL COLON
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | CARR 2 KM 8.1 MARGINAL REPARTO SAN MIGUEL
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City | ARECIBO
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State | PR
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Zip | 00612-0000
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Country | US
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Telephone | 787-878-4143
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Fax | 787-878-4143
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Provider Business Mailing Address
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Address Line | PO BOX 141299
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City | ARECIBO
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State | PR
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Zip | 00614-1299
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Country | US
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Telephone | 787-878-4143
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Fax | 787-878-4143
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. NILDA L RIVERA
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Credential |
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Telephone | 787-878-4143
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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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