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General NPI Number Information
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NPI Number | 1346806361
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Entity Type | Individual
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Provider Name | MICHELLE MARIE GARRIGA - VIDAL PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 05/15/2019
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Provider Practice Location Address
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Address Line | PLAZA ESCORIAL BO SAN ANTON CARR 3 AVE 65 DE INFANTERIA INTER CARR 887
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-769-2025
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Fax |
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Provider Business Mailing Address
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Address Line | UU25 CALLE YUNQUESITO MANSIONES OF CAROLINA
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-983-6596
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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 | 6654
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License Number State | PR
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