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General NPI Number Information
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NPI Number | 1053087262
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Entity Type | Organization
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Legal Business Name | AMAC SERVICE.LLC
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 13 CALLE JOSE DE DIEGO
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City | GUAYANILLA
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State | PR
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Zip | 00656-1830
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Country | US
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Telephone | 787-229-1515
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Fax | 787-229-1516
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Provider Business Mailing Address
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Address Line | URB VISTAS DE MONTESOL CALLE SATURNO #102
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City | YAUCO
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State | PR
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Zip | 00698
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Country | US
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Telephone | 787-673-0309
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOAN CRUZ MELETICHE
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Credential |
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Telephone | 787-673-0309
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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 |
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License Number State |
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