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General NPI Number Information
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NPI Number | 1033598206
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Entity Type | Organization
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Legal Business Name | NAIVER CORP
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | G4 CALLE 6 URB MARIA DEL CARMEN
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City | COROZAL
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State | PR
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Zip | 00783-0000
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Country | US
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Telephone | 787-693-0300
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Fax | 787-693-0302
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Provider Business Mailing Address
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Address Line | HC 2 BOX 8297
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City | COROZAL
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State | PR
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Zip | 00783-6071
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Country | US
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Telephone | 787-693-0300
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Fax | 787-693-0302
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Authorized Official
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Title or Position | OWNER
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Name | MRS. IVIS E RIVERA
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Credential |
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Telephone | 787-693-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 17F3288
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License Number State | PR
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