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General NPI Number Information
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NPI Number | 1194695940
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Entity Type | Individual
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Provider Name | MIGUEL ENRIQUE RODRIGUEZ SEPULVEDA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | CARRETERA PR-3 KM 123.0
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City | PATILLAS
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State | PR
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Zip | 00723
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Country | US
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Telephone | 787-839-5015
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Fax |
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Provider Business Mailing Address
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Address Line | HC 5 BOX 5499
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City | YABUCOA
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State | PR
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Zip | 00767-9678
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Country | US
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Telephone | 939-248-7871
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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 | 8355
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License Number State | PR
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