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General NPI Number Information
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NPI Number | 1063667038
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Entity Type | Organization
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Legal Business Name | GYNALAR INC.
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | CENTRO COMERCIAL CIUDAD UNIVERSITARIA GYNALAR INC.
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-2241
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Country | US
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Telephone | 787-761-2645
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Fax |
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Provider Business Mailing Address
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Address Line | CENTRO COMERCIAL CIUDAD UNIVERSITARIA GYNALAR INC.
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-2241
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Country | US
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Telephone | 787-761-2645
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Fax |
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Authorized Official
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Title or Position | PRES.
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Name | MRS. GEORGINA COLLAZO
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Credential |
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Telephone | 787-761-2645
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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 | 09-F-0336
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License Number State | PR
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