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General NPI Number Information
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NPI Number | 1316079296
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Entity Type | Organization
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Legal Business Name | FARMACIA HATO ARRIBA
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CARR 129 KM 39.3 INT 490 BO HATO ARRIBA
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City | ARECIBO
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State | PR
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Zip | 00613-1257
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Country | US
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Telephone | 787-879-4210
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Fax | 787-879-4211
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Provider Business Mailing Address
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Address Line | PO BOX 1257
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City | ARECIBO
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State | PR
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Zip | 00613-1257
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Country | US
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Telephone | 787-879-4210
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Fax | 787-879-4211
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Authorized Official
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Title or Position | FARMACEUTICA REGENTE
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Name | EDITH M RODRIGUEZ
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Credential | D.O
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Telephone | 787-879-4210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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