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General NPI Number Information
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NPI Number | 1043665797
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Entity Type | Individual
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Provider Name | YEZLIE A. CARVAJAL-SIERRA PHARMACY TECHNICIAN
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Gender | Female
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | CARR 156 R-790 KM 8.4 BO MULITAS ALVELO
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City | AGUAS BUENAS
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State | PR
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Zip | 00703
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Country | US
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Telephone | 787-469-6241
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 887
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City | AGUAS BUENAS
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State | PR
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Zip | 00703-0887
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Country | US
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Telephone | 787-469-6241
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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 | 9663
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License Number State | PR
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