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General NPI Number Information
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NPI Number | 1043966542
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Entity Type | Individual
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Provider Name | CASANDRA ISABEL PEREZ RODRIGUEZ PHARMD
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Gender | Female
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 5 CALLE CARRO
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City | SAN GERMAN
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State | PUERTO RICO
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Zip | 00683
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Country | US
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Telephone | 787-892-5290
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE 12 A-15 REPARTO UNIVERSIDAD
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City | SAN GERMAN
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State | PUERTO RICO
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Zip | 00683
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 006989
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License Number State | PR
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