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General NPI Number Information
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NPI Number | 1205231800
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Entity Type | Individual
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Provider Name | EMILY JANET SANTOS I B.A.
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Gender | Female
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 44 CALLE RAFAEL LASA
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City | AGUAS BUENAS
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State | PR
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Zip | 00703-3337
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Country | US
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Telephone | 939-207-7866
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Fax | 787-732-3877
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Provider Business Mailing Address
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Address Line | PO BOX 1223
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City | CIDRA
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State | PR
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Zip | 00739-1223
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Country | US
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Telephone | 939-207-7866
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Fax | 787-732-2272
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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 | 8722
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License Number State | PR
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