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General NPI Number Information
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NPI Number | 1255805750
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Entity Type | Individual
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Provider Name | LILLIAM AIRIN RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | UNIDAD DE SALUD PUBLICA
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-709-1333
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Fax |
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Provider Business Mailing Address
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Address Line | 7K26 VILLA MADRID
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City | COAMO
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State | PR
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Zip | 00769
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Country | US
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Telephone | 787-709-1333
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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 | 4798
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number | 84235
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License Number State | PR
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