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General NPI Number Information
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NPI Number | 1134416878
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Entity Type | Individual
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Provider Name | CARMEN R GUEVARA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 07/01/2011
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Provider Practice Location Address
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Address Line | CARR. 2 KM 81.7 BARRIO CARRIZALES
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City | HATILLO
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State | PR
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Zip | 00659
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Country | US
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Telephone | 787-880-0130
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Fax | 787-880-0140
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Provider Business Mailing Address
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Address Line | CARR 2 KM 81.7 BO.CARRIZALES
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City | HATILLO
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State | PR
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Zip | 00659
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Country | US
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Telephone | 787-880-0130
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Fax | 787-880-0140
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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 | 3458
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License Number State | PR
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