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General NPI Number Information
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NPI Number | 1154442226
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Entity Type | Individual
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Provider Name | ROSE M SANTIAGO
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | C2 CALLE 2 VILLA REAL
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City | VEGA BAJA
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State | PR
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Zip | 00693-3804
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Country | US
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Telephone | 787-858-1336
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Fax | 787-858-1336
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Provider Business Mailing Address
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Address Line | HC- 02 BOX 5580
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City | MOROVIS
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State | PR
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Zip | 00687-9716
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Country | US
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Telephone | 787-207-2186
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Fax | 787-858-1336
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 005713
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License Number State | PR
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