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General NPI Number Information
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NPI Number | 1285071415
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Entity Type | Individual
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Provider Name | LYMARIE RIVERA
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Gender | Female
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Dates
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Enumeration Date | 05/29/2013
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Last Update Date | 05/29/2013
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Provider Practice Location Address
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Address Line | CALLE B 39A #16 SIERRA BAYAMON
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-786-7194
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Fax |
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Provider Business Mailing Address
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Address Line | 6 URB OASIS PARQUE PUNTA SALINAS
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City | TOA BAJA
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State | PR
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Zip | 00949-3034
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Country | US
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Telephone | 787-795-4229
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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 | 4710
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License Number State | PR
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