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General NPI Number Information
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NPI Number | 1073590873
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Entity Type | Organization
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Legal Business Name | FARMACIA GABRIELA
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | CARRETERA 132 KM 22.1 BO. RIO CANAS
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City | PONCE
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State | PR
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Zip | 00731
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Country | US
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Telephone | 787-290-1953
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Fax | 787-290-1953
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Provider Business Mailing Address
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Address Line | PO BOX 800670
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City | COTO LAUREL
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State | PR
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Zip | 00780-0670
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Country | US
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Telephone | 787-290-1963
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Fax | 787-290-1953
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD SOLER
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Credential | M.D.
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Telephone | 787-844-4958
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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 | 11-F-1932
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License Number State | PR
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