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General NPI Number Information
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NPI Number | 1013003433
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Entity Type | Individual
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Provider Name | YOLANDA RIVERA LIC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 851 CALLE LAFAYETTE PDA 20 ESQ SAN RAFAEL
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City | SAN JUAN
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State | PR
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Zip | 00909-2627
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Country | US
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Telephone | 787-724-3307
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Fax |
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Provider Business Mailing Address
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Address Line | 963 CALLE PUERTO PRINCIPE URB LAS AMERICAS
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City | SAN JUAN
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State | PR
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Zip | 00921-1919
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Country | US
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Telephone | 787-764-2523
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3937
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License Number State | PR
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