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General NPI Number Information
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NPI Number | 1053518688
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Entity Type | Individual
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Provider Name | KEYLA M. ARCHILLA PH. T
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Gender | Female
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | URBANIZACION SAN FERNANDO CALL 6 B-35
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-870-2935
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Fax |
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Provider Business Mailing Address
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Address Line | BO. LOS NARANJOS CALLE 1 #72
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City | VEGA BAJA
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State | PR
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Zip | 00694
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Country | US
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Telephone | 787-858-9305
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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 | 6289
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License Number State | PR
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