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General NPI Number Information
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NPI Number | 1245253616
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Entity Type | Organization
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Legal Business Name | MARIBEL VEGA RIOS
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 10/03/2008
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Provider Practice Location Address
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Address Line | COND GARDEN CEN #1 2 UNIVERSITY GARDENS
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City | SAN JUAN
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State | PR
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Zip | 00927-4853
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Country | US
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Telephone | 787-763-1059
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Fax | 787-763-1074
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Provider Business Mailing Address
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Address Line | COND GARDEN CENTER #1 2 UNIVERSITY GARDENS
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City | SAN JUAN
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State | PR
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Zip | 00927-4853
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Country | US
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Telephone | 787-763-1059
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Fax | 787-763-1074
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Authorized Official
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Title or Position | PHARMACIST
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Name | MARIBEL VEGA RIOS
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Credential | RPH
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Telephone | 787-763-1059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 09-F-1823
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License Number State | PR
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