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General NPI Number Information
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NPI Number | 1366600686
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Entity Type | Individual
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Provider Name | MARIA ANGELICA NIEVES PHARMACY TECHNICIAN
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Gender | Female
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | AVENUE VETERANOS KM 134-7
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City | GUAYAMA
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State | PR
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Zip | 00784
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Country | US
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Telephone | 787-686-9409
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Fax |
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Provider Business Mailing Address
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Address Line | 34 CALLE A BDA CARMEN
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City | SALINAS
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State | PR
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Zip | 00751-2901
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Country | US
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Telephone | 787-824-4367
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 6902
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number | 6902
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License Number State | PR
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