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General NPI Number Information
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NPI Number | 1407992993
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Entity Type | Individual
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Provider Name | MS. JEANNETTE OTERO
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | PARC SAN ANTONIO #21 CARR 696 SUITE 1
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-278-3300
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Fax | 787-278-6100
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Provider Business Mailing Address
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Address Line | HC 06 BOX 14607
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City | HATILLO
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State | PR
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Zip | 00659-9551
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Country | US
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Telephone | 787-898-2458
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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 | 4742
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License Number State | PR
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