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General NPI Number Information
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NPI Number | 1336291814
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Entity Type | Organization
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Legal Business Name | KR GURABO INC.
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CALLE SANTIAGO # 61 N
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City | GURABO
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State | PR
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Zip | 00778-2627
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Country | US
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Telephone | 787-737-8188
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Fax | 787-737-3330
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Provider Business Mailing Address
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Address Line | CALLE SANTIAGO # 61 N
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City | GURABO
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State | PR
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Zip | 00778-2627
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Country | US
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Telephone | 787-737-8188
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Fax | 787-737-3330
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Authorized Official
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Title or Position | MANAGER
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Name | RASMI RASHID
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Credential |
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Telephone | 787-737-8188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 07F2116
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License Number State | PR
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