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General NPI Number Information
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NPI Number | 1164545067
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Entity Type | Individual
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Provider Name | CORALY PEREZ PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1210 AVE AMERICO MIRANDA REPARTO METROPOLITANO
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City | RIO PIEDRAS
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State | PR
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Zip | 00921-1620
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Country | US
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Telephone | 787-783-8579
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Fax | 787-783-2951
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Provider Business Mailing Address
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Address Line | PO BOX 1946
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City | CAGUAS
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State | PR
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Zip | 00726-1946
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Country | US
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Telephone | 787-685-9326
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Fax | 787-783-2951
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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 | 4918
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License Number State | PR
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