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General NPI Number Information
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NPI Number | 1093884744
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Entity Type | Organization
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Legal Business Name | SANTIAGO R VARELA
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | CALLE 65 DE INFANTERIA #68
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City | ANASCO
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State | PR
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Zip | 00610
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Country | US
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Telephone | 787-826-2390
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Fax | 787-826-7991
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Provider Business Mailing Address
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Address Line | PO BOX 357
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City | ANASCO
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State | PR
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Zip | 00610
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Country | US
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Telephone | 787-826-2390
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Fax | 787-826-7991
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Authorized Official
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Title or Position | OWNER
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Name | MR. SANTIAGO R VARELA
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Credential |
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Telephone | 787-826-2390
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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 | 07F1809
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License Number State | PR
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