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General NPI Number Information
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NPI Number | 1164433736
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Entity Type | Organization
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Legal Business Name | VANESSA PEREZ
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | CARR 149 KM 18.0 BO PESAS
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City | CIALES
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State | PR
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Zip | 00638
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Country | US
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Telephone | 787-871-2305
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Fax | 787-871-2541
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Provider Business Mailing Address
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Address Line | PO BOX 5000
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City | CAMUY
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State | PR
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Zip | 00627-5000
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Country | US
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Telephone | 787-421-6977
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | VANESSA PEREZ
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Credential | RPH
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Telephone | 787-871-2305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 18-F-2387
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License Number State | PR
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