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General NPI Number Information
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NPI Number | 1356542898
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Entity Type | Individual
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Provider Name | TANIA PACHECO RPH
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Gender | Female
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 715 AVENUE PONCE DE LEON
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City | HATO REY
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State | PR
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Zip | 00919
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Country | US
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Telephone | 787-758-2000
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Fax | 787-771-7884
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Provider Business Mailing Address
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Address Line | SKY TOWER I APT 5B
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-287-5068
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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 | 3110
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License Number State | PR
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