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NPI 1265064307

NPI 1265064307 : NARAY MIRANDA PHARM. D. : AGUADA, PR

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General NPI Number Information
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    NPI Number           |    1265064307
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    Entity Type          |    Individual 
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    Provider Name        |    NARAY MIRANDA PHARM. D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/06/2020
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    Last Update Date     |    02/06/2020
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Provider Practice Location Address
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    Address Line         |    BO ASOMANTE 1928 CARR 115 
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    City                 |    AGUADA
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    State                |    PR
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    Zip                  |    00602
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    Country              |    US
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    Telephone            |    787-868-7711
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    CARR 4416 PIEDRAS BLANCAS 
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    City                 |    AGUADA
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    State                |    PR
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    Zip                  |    00602-9757
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    Country              |    US
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    Telephone            |    787-317-3705
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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        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    006491
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    License Number State |    PR
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