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General NPI Number Information
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NPI Number | 1417448457
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Entity Type | Individual
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Provider Name | ZITA MARIE COTES PHARMACY TECHNICIAN
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Gender | Female
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 05/25/2018
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Provider Practice Location Address
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Address Line | PARCELAS LAJAS ARRIBA CALLE JUAN CRUZ 199
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City | LAJAS
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State | PR
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Zip | 00667-9414
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Country | US
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Telephone | 813-298-8103
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Fax | 813-298-8103
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Provider Business Mailing Address
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Address Line | HC 4 BOX 21773
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City | LAJAS
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State | PR
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Zip | 00667-9414
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Country | US
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Telephone | 813-298-8103
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Fax | 813-298-8103
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 11135
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License Number State | PR
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