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General NPI Number Information
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NPI Number | 1245896190
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Entity Type | Individual
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Provider Name | CARLOS M PAGAN MONSEGUR CPHT
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Gender | Male
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Dates
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Enumeration Date | 05/16/2019
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Last Update Date | 05/16/2019
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Provider Practice Location Address
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Address Line | 608 CALLE YAGUEZ ESTANCIAS DEL RIO
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City | HORMIGUEROS
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State | PR
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Zip | 00660-0066
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Country | US
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Telephone | 939-865-0347
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Fax |
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Provider Business Mailing Address
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Address Line | 608 CALLE YAGUEZ ESTANCIAS DEL RIO
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City | HORMIGUEROS
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State | PR
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Zip | 00660
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Country | US
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Telephone | 939-865-0347
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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 | 30036828
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 10312
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License Number State | PR
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