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General NPI Number Information
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NPI Number | 1942617329
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Entity Type | Organization
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Legal Business Name | ADONAI HEALTH CENTER, INC
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | CARR 155 KM 31.5 BARRIO GATO
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City | OROCOVIS
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State | PR
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Zip | 00720-0000
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Country | US
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Telephone | 787-646-2305
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Fax |
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Provider Business Mailing Address
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Address Line | BARRIO GATO CARR 155 KM 31.5
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City | OROCOVIS
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State | PR
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Zip | 00720
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Country | US
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Telephone | 787-646-2305
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | DR. GRISEIDA VAZQUEZ COLON
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Credential | MD
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Telephone | 787-646-2305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 207240
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License Number State | PR
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