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General NPI Number Information
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NPI Number | 1194236448
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Entity Type | Individual
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Provider Name | CRISTINA PAGAN-MONTALVO BS, MS, PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/13/2017
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Last Update Date | 10/13/2017
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Provider Practice Location Address
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Address Line | 2097 AVE HOSTOS
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City | MAYAGUEZ
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State | PR
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Zip | 00682-6440
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Country | US
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Telephone | 787-805-4805
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Fax | 787-805-4510
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Provider Business Mailing Address
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Address Line | 2097 AVE HOSTOS
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City | MAYAGUEZ
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State | PR
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Zip | 00682-6440
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Country | US
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Telephone | 787-805-4805
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Fax | 787-805-4510
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 6480
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License Number State | PR
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