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General NPI Number Information
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NPI Number | 1255962478
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Entity Type | Individual
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Provider Name | ROSA MERCEDES VAZQUEZ PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 01/27/2020
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Provider Practice Location Address
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Address Line | CARR. 862, KM. 1.9 BO. HATO TEJAS
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-269-3140
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Fax | 787-740-5445
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Provider Business Mailing Address
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Address Line | EL ALAMO E-6 ALAMO DRIVE
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City | GUAYNABO
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State | PR
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Zip | 00969-4512
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Country | US
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Telephone | 787-790-6051
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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 | 004841
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License Number State | PR
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