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General NPI Number Information
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NPI Number | 1912303959
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Entity Type | Organization
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Legal Business Name | HEALTH WORKS MANAGEMENT GROUP, INC.
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | AVE PONCE DE LEON BUILDING 161 , SUITE 301
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City | SAN JUAN
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State | PR
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Zip | 00907-3907
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Country | US
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Telephone | 787-777-0707
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Fax | 787-777-0707
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Provider Business Mailing Address
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Address Line | AVE PONCE DE LEON BUILDING 161 , SUITE 301
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City | SAN JUAN
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State | PR
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Zip | 00907-3907
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Country | US
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Telephone | 787-777-0707
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Fax | 787-777-0707
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EDMUNDO CABAN
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Credential | MHSA
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Telephone | 787-777-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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