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General NPI Number Information
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NPI Number | 1932557055
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Entity Type | Organization
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Legal Business Name | INTEGRATE COMMUNITY HEALTH SYSTEM
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | CARR PR 107 KM 6 BARRIO CAMACEYE ESQ AVE JARDINES DE AGUADILLA
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-772-9850
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Fax | 787-641-4240
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Provider Business Mailing Address
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Address Line | 400 CALLE CALAF PMB 455
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City | HATO REY
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-772-9850
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Fax | 787-641-4240
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. VIVIAN SOLIVAN
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Credential |
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Telephone | 787-234-8865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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