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General NPI Number Information
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NPI Number | 1316391261
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Entity Type | Organization
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Legal Business Name | HOSPITAL MENONITA CAGUAS INC
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | CARR. 172 CAGUAS A CIDRA URB. TURABO GARDENS
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-653-0550
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Fax | 787-653-0538
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Provider Business Mailing Address
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Address Line | P.O. BOX 660
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-653-0550
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Fax | 787-653-0538
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Authorized Official
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Title or Position | FARMACEUTICO REGENTE
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Name | BENIGNO DOMINGUEZ
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Credential | RPH
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Telephone | 787-653-0550
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 17F3340
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License Number State | PR
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