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General NPI Number Information
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NPI Number | 1073904710
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Entity Type | Individual
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Provider Name | ERIKA CRUZ
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Gender | Female
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Dates
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Enumeration Date | 02/17/2015
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 7346 CALLE REJAS SABANA SECA
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City | SABANA SECA
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State | PR
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Zip | 00952-4352
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Country | US
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Telephone | 939-717-2859
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Fax |
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Provider Business Mailing Address
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Address Line | 7346 CALLE REJAS SABANA SECA
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City | PUERTO RICO
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State | SAN JUAN
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Zip | 00952
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Country | PA
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Telephone | 939-717-2859
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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 | 3036
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License Number State | PR
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