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General NPI Number Information
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NPI Number | 1104522887
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Entity Type | Individual
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Provider Name | LUIGGI PEREZ SOTO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/03/2023
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | CARRETERA 111 KM 14.5 BARRIO HATO ARRIBA
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685
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Country | US
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Telephone | 787-896-6340
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Fax | 787-896-3036
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Provider Business Mailing Address
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Address Line | PO BOX 3005 HATO ARRIBA STATION
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685
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Country | US
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Telephone | 787-877-3432
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 008052
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License Number State | PR
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