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General NPI Number Information
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NPI Number | 1396628376
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Entity Type | Individual
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Provider Name | DR. IBRAHIM YUSEF YASSIN MORALES
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Gender | Male
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | PR-167 KM 18.7
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-923-2793
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Fax |
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Provider Business Mailing Address
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Address Line | 241-6 CALLE 613 VILLA CAROLINA
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-923-2793
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 006978
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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 | 006978
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License Number State | PR
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