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General NPI Number Information
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NPI Number | 1023351095
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Entity Type | Individual
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Provider Name | MARITZA IRIZARRY
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Gender | Female
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | HC 63 BOX 3285
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City | PATILLAS
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State | PR
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Zip | 00723-9607
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Country | US
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Telephone | 787-929-4163
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Fax | 787-839-2141
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Provider Business Mailing Address
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Address Line | HC 63 BOX 3285
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City | PATILLAS
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State | PR
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Zip | 00723-9607
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Country | US
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Telephone | 787-929-4163
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Fax | 787-839-2141
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 8358
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License Number State | PR
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