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General NPI Number Information
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NPI Number | 1295265932
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Entity Type | Individual
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Provider Name | FELICIA RIVAS TF
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Gender | Female
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 06/15/2017
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Provider Practice Location Address
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Address Line | 1306 CDT MANUEL DIAZ GARCIA
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City | SAN JUAN
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State | PR
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Zip | 00908
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Country | US
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Telephone | 787-480-3067
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Fax | 787-721-7596
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Provider Business Mailing Address
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Address Line | 295 CALLE SAN FERNANDO
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City | CAROLINA
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State | PR
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Zip | 00982-3615
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Country | US
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Telephone | 787-257-0968
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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 | 4771
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License Number State | PR
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