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General NPI Number Information
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NPI Number | 1033758115
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Entity Type | Individual
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Provider Name | MRS. ELINEDH CABAN I
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Gender | Female
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Dates
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Enumeration Date | 01/06/2020
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | CARR 111 KM 13.4
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685
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Country | US
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Telephone | 787-877-2714
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 23461
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685
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Country | US
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Telephone |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 5939
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License Number State | PR
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