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General NPI Number Information
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NPI Number | 1992394787
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Entity Type | Organization
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Legal Business Name | INTEGRATED INTERNAL MEDICINE SERVICES LLC
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Dates
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Enumeration Date | 01/15/2021
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Last Update Date | 01/15/2021
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Provider Practice Location Address
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Address Line | 29 CALLE WASHINGTON STE 309
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City | SAN JUAN
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State | PR
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Zip | 00907-1509
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Country | US
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Telephone | 787-600-6411
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Fax | 787-723-6224
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Provider Business Mailing Address
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Address Line | PO BOX 8069
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City | SAN JUAN
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State | PR
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Zip | 00910-0069
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Country | US
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Telephone | 787-396-6336
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Fax |
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | MRS. MARISOL CRUZ
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Credential |
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Telephone | 787-312-2985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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