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General NPI Number Information
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NPI Number | 1164169967
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Entity Type | Individual
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Provider Name | ELI SETLAIN MONTOYO ROSARIO PHARM D
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Gender | Male
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Dates
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Enumeration Date | 05/13/2022
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Last Update Date | 05/13/2022
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Provider Practice Location Address
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Address Line | CALLE ARACIBO A9 URBANIZACION VILLA DE CANEY
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City | TRUJILLO ALTO PR
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State | PR
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Zip | 00976
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Country | US
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Telephone | 787-755-7845
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Fax |
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Provider Business Mailing Address
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Address Line | 45 CALLE PIMENTEL ALTOS
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-632-1522
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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 | 6865
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License Number State | PR
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