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NPI 1184770505

NPI 1184770505 : MRS. YESENIA MOLINA : NARANJITO, PR

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General NPI Number Information
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    NPI Number           |    1184770505
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. YESENIA MOLINA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/26/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    APARTADO 515 
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    City                 |    NARANJITO
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    State                |    PR
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    Zip                  |    00719
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    Country              |    US
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    Telephone            |    787-869-5900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    P.O. BOX 564 
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    City                 |    BARRANQUITAS
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    State                |    PR
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    Zip                  |    00794
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    Country              |    US
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    Telephone            |    787-515-2390
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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       |    4233
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    License Number State |    PR
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