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General NPI Number Information
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NPI Number | 1346616513
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Entity Type | Individual
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Provider Name | DENISSE MARCANO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2015
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | CARRETERA #2 KM 0.7
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City | BAYAMON
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State | PR
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Zip | 00959-0095
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Country | US
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Telephone | 787-786-6306
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Fax | 787-966-7652
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Provider Business Mailing Address
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Address Line | BOX 2400 PMB 226
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City | TOA BAJA
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State | PR
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Zip | 00000-0951
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Country | US
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Telephone | 787-513-6072
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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 | 6229
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License Number State | PR
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