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General NPI Number Information
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NPI Number | 1396948832
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Entity Type | Individual
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Provider Name | ALEXY E LARA RPH, PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | PO BOX 4908
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City | CAGUAS
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State | PR
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Zip | 00726-4908
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Country | US
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Telephone | 787-286-6032
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Fax | 787-653-2852
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Provider Business Mailing Address
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Address Line | 3532 COND THE RESIDENCES AVE SUR APT 1713
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City | CAROLINA
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State | PR
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Zip | 00987-5044
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Country | US
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Telephone | 787-365-1706
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Fax | 787-752-1926
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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 | 4959
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License Number State | PR
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