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General NPI Number Information
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NPI Number | 1952910267
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Entity Type | Organization
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Legal Business Name | INSIGHT MEDICAL CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 07/23/2020
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | AVE PONCE DE LEON PARADA 37 1/2 HATO REY CENTRAL
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City | SAN JUAN
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State | PR
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Zip | 00919
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Country | US
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Telephone | 787-619-8560
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Fax |
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Provider Business Mailing Address
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Address Line | 131 URB CAGUAS REAL
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City | CAGUAS
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State | PR
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Zip | 00725-9051
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Country | US
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Telephone | 787-602-8668
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | IRMARIS VICENTY
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Credential |
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Telephone | 787-602-8668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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