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General NPI Number Information
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NPI Number | 1356483069
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Entity Type | Individual
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Provider Name | RAFAEL A NIEVES-CASTRO PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 52 CALLE SAN MIGUEL URB OCEAN PARK
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City | SANTURCE
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State | PR
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Zip | 00911-1727
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Country | US
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Telephone | 787-455-0384
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Fax |
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Provider Business Mailing Address
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Address Line | PMS 172 PO BOX 70344
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City | SAN JUAN
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State | PR
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Zip | 00936
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Country | US
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Telephone | 787-455-0384
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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 | 004455
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS 38763
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License Number State | FL
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