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General NPI Number Information
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NPI Number | 1104133990
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Entity Type | Organization
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Legal Business Name | ONE STOP PRESCRIPTION EL MONTE INC
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | CENTRO COMERCIAL DORADO DEL MAR CARR 693 KM 8
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-278-6010
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Fax | 787-796-2106
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Provider Business Mailing Address
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Address Line | 10 AVE SIMON MADERA PARCELAS FALU
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City | SAN JUAN
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State | PR
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Zip | 00924-2231
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Country | US
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Telephone | 787-751-9606
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Fax | 787-751-0286
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VANESSA VANGA
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Credential |
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Telephone | 787-751-9606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 18-F-2883
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License Number State | PR
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