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Member Data Record: Dimaculangan, Joanabel Relativo

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Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION


Corporate Action Center Hotline - (02) 441-7442
www.philhealth.gov.ph

MEMBER DATA RECORD


MEMBER BASIC INFORMATION
PhilHealth Identification Number (PIN) : 01-050346251-1 PhilSys Number :
Member Category : FORMAL ECONOMY - PRIVATE -
Sub-Category PERMANENT/REGULAR NHTS Coverage : N/A
Validity Period : N/A - N/A

DIMACULANGAN, JOANABEL RELATIVO


ZONE 4 QUITANG, PASACAO CAMARINES SUR

Foreign Address : N/A Sex : FEMALE


Date of Birth : 12/09/1984
Place of Birth : TAGKAWAYAN, QUEZON
Contact No. (Foreign) : N/A Civil Status : MARRIED
(Local) : 4735003 Tax Identification Number :

ENTITY INFORMATION
PhilHealth Number (PEN/POGN) : 200276308620
Name of Employer/Organized Group : PHILCOPY CORPORATION
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Business Address : 793 J P RIZAL AVE, RIZAL, MAKATI CITY FOURTH DIST.
hidden text
Telephone Number : 8998625 Employment Status : SEPARATED
Tax Identification Number : 000169318000 Date : 05/10/2007

DEPENDENT INFORMATION
PIN Surname Given Name Middle Name Sex Relation Date of Birth
*** NOTHING FOLLOWS ***

HENRY V. ALMANON
REGIONAL VICE PRESIDENT
Philhealth Regional Office - V Legaspi City

Paalala: Basahin ang nilalaman ng MDR. Kung may kulang o mali, ibalik agad upang maiwasto. Ingatan ang orihinal na kopya at huwag ibigay kahit kanino. Kung
sakaling gagamit at makikinabang ng benepisyo, magbigay ng kopya sa ospital. (Reminder: Read the contents of the MDR. Should there be any data discrepancies,
return it back to amend or rectify the error. Take good care of MDR and do not hand it over to anybody. Provide photocopy to hospital in case of confinement and
availment of benefits.)
This is a Member Portal System generated report. Signature is not required.
Jan 03, 2023 01:42 PM

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