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General NPI Number Information
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NPI Number | 1962883967
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Entity Type | Organization
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Legal Business Name | HOSPITAL AUXILIO MUTUO
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 06/15/2015
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Provider Practice Location Address
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Address Line | 921 CARR 876 APT 97
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-7514
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Country | US
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Telephone | 954-937-8068
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Fax |
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Provider Business Mailing Address
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Address Line | 921 CARR 876 APT K-103
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-7501
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Country | US
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Telephone | 954-937-8068
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Fax |
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Authorized Official
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Title or Position | M.D
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Name | PILAR VASQUEZ HINOJOSA
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Credential |
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Telephone | 954-937-8068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 19084
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License Number State | PR
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