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General NPI Number Information
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NPI Number | 1376679258
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Entity Type | Organization
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Legal Business Name | INNOVAGENIUSCORE LLC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 963 CALLE MUNOZ RIVERA
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City | PENUELAS
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State | PR
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Zip | 00624-1401
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Country | US
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Telephone | 787-836-2173
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Fax | 787-836-6102
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Provider Business Mailing Address
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Address Line | 963 CALLE MUNOZ RIVERA
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City | PENUELAS
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State | PR
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Zip | 00624-1401
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Country | US
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Telephone | 787-836-2173
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Fax | 787-836-6102
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE/OWNER
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Name | DR. NOEL FRANCISCO PADRO-GARCIA
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Credential | PHARMD
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Telephone | 787-685-7980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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