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General NPI Number Information
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NPI Number | 1932815214
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICS LLC
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | CALLE S #1 URBANIZACION VILLA LOS SANTOS
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City | ARECIBO
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State | FL
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Zip | 00612
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Country | US
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Telephone | 917-836-4035
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Fax | 954-656-0108
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Provider Business Mailing Address
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Address Line | PO BOX 244
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City | ARECIBO
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State | PR
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Zip | 00613-0244
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Country | US
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Telephone | 917-836-4035
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Fax | 954-656-0108
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Authorized Official
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Title or Position | MANAGER
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Name | DR. SEGUNDO JAIME GONZALEZ ESCOLA
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Credential | MD
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Telephone | 917-836-4035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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