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General NPI Number Information
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NPI Number | 1942695788
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Entity Type | Organization
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Legal Business Name | MSA CORP.
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 08/12/2015
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Provider Practice Location Address
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Address Line | B2 DR. RAMOS MIMOSO STREET
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-525-0400
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Fax |
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Provider Business Mailing Address
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Address Line | B2 RAMOS MIMOSO ST. GARDEN HILLS VILLAS
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-525-0400
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Fax |
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Authorized Official
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Title or Position | SURGEON/PRESIDENT
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Name | DR. LUIS RODRIGUEZ-ESCOLA
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Credential | MD
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Telephone | 787-525-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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