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General NPI Number Information
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NPI Number | 1154809143
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Entity Type | Individual
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Provider Name | MRS. DEMARIS ANGELIQUE BABILONIA
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Gender | Female
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | CARR 110 KM 10.7 INT BO CRUZ SECT ISLETA
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City | MOCA
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State | PR
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Zip | 00676-0067
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Country | US
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Telephone | 787-512-9284
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 421
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City | MOCA
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State | PR
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Zip | 00676-0421
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Country | US
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Telephone | 787-512-9284
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 012118
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License Number State | PR
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