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General NPI Number Information
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NPI Number | 1427182146
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Entity Type | Organization
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Legal Business Name | FARMACIA CENTRO SERVICIO AMBULATORIO AIBONITO
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 09/05/2017
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Provider Practice Location Address
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Address Line | CALLE GERARDO SANTIAGO #50
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City | AIBONITO
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State | PR
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Zip | 00705
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Country | US
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Telephone | 787-735-8001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 373130
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City | CAYEY
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State | PR
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Zip | 00737
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | JULIO COLON
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Credential |
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Telephone | 787-535-1001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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