{
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"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ABREU CRUZ",
"FirstName": "ALERYS",
"MiddleName": "YAMILKA",
"NamePrefix": "MRS.",
"NameSuffix": "SR.",
"Credential": "PHARMACY TECH",
"OtherOrgName": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 760",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MAUNABO",
"MailingAddressStateName": "PUERTO RICO",
"MailingAddressPostalCode": "00707",
"MailingAddressCountryCode": "UM",
"MailingAddressTelephoneNumber": "939-329-7081",
"MailingAddressFaxNumber": "939-329-7082",
"FirstLinePracticeLocationAddress": "24 CALLE MUNOZ RIVERA",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MAUNABO",
"PracticeLocationAddressStateName": "PR",
"PracticeLocationAddressPostalCode": "00707-2148",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "787-640-6307",
"PracticeLocationAddressFaxNumber": "939-329-7082",
"EnumerationDate": "10/17/2014",
"LastUpdateDate": "10/17/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "183700000X",
"TaxonomyName": "Pharmacy Technician",
"LicenseNumber": "7414",
"LicenseNumberStateCode": "PR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}