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General NPI Number Information
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NPI Number | 1376677039
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Entity Type | Individual
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Provider Name | MARIA J ALICEA
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1228 CALLE 9 ESQ52 REPARTO METROPOLITANO
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City | RIO PIEDRAS
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State | PR
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Zip | 00921-4235
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Country | US
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Telephone | 787-758-8497
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Fax | 787-759-8192
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Provider Business Mailing Address
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Address Line | 206 CALLE TOCANTIS RIO PIEDRAS HEIGHTS
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City | SAN JUAN
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State | PR
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Zip | 00926-3219
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Country | US
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Telephone | 787-758-6901
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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 | 3758
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License Number State | PR
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