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General NPI Number Information
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NPI Number | 1417312190
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Entity Type | Individual
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Provider Name | AIDA ESTHER SANTIAGO
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Gender | Female
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 06/07/2018
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Provider Practice Location Address
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Address Line | FARMACIA SAN PABLO Y SAN PEDRO 152 CALLE UNION
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City | LAJAS
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State | PR
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Zip | 00667
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Country | US
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Telephone | 939-214-7205
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Fax | 847-396-2748
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Provider Business Mailing Address
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Address Line | FARMACIA SAN PABLO SAN PEDRO CALLE UNION # 152
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City | LAJAS
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State | PR
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Zip | 00667
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Country | US
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Telephone | 939-214-7205
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Fax | 847-396-2748
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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 | 6330
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License Number State | PR
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