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General NPI Number Information
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NPI Number | 1417675430
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Entity Type | Individual
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Provider Name | LIZANDRA ROMERO MAYSONET PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 1 CARR 694
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City | VEGA ALTA
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State | PR
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Zip | 00692-6859
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Country | US
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Telephone | 787-883-4279
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Fax |
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Provider Business Mailing Address
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Address Line | URB. GOLDEN HILLS EARTH 1574
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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 | 787-368-7229
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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 | 7095
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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