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General NPI Number Information
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NPI Number | 1972503647
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Entity Type | Organization
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Legal Business Name | GOVERNOR JUAN F. LUIS HOSPITAL & MEDICAL CENTER
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | #4007 ESTATE DIAMOND RUBY
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City | CHRISTIANSTED, ST. CROIX
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State | VI
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Zip | 00821-4421
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Country | US
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Telephone | 340-778-6311
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Fax | 340-772-7357
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Provider Business Mailing Address
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Address Line | #4007 ESTATE DIAMOND RUBY
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City | CHRISTIANSTED, ST. CROIX
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State | VI
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Zip | 00821-4421
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Country | US
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Telephone | 340-778-6311
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Fax | 340-772-7357
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. GREGORY J. CALLISTE
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Credential | PHD,FACHE
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Telephone | 340-778-6311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | VI
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