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General NPI Number Information
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NPI Number | 1912271941
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Entity Type | Organization
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Legal Business Name | TRANSPORTE CALEB CORP.
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 03/08/2012
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Provider Practice Location Address
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Address Line | BARRIO CAGUABO CARR 115 KM 5.6
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City | ANASCO
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State | PR
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Zip | 00610-1940
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Country | US
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Telephone | 787-216-9768
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Fax | 787-299-1201
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Provider Business Mailing Address
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Address Line | PO BOX 1940
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City | ANASCO
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State | PR
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Zip | 00610-1940
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Country | US
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Telephone | 787-216-9768
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Fax | 787-299-1201
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILSON I. PEREZ
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Credential |
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Telephone | 787-216-9768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | PCVTE-4611
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License Number State | PR
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