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NPI 1427598697

NPI 1427598697 : CARLOS A SANCHEZ GONZLEZ : COROZAL, PR

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General NPI Number Information
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    NPI Number           |    1427598697
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    Entity Type          |    Individual 
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    Provider Name        |    CARLOS A SANCHEZ GONZLEZ
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/07/2017
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    Last Update Date     |    03/07/2017
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Provider Practice Location Address
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    Address Line         |    41 CALLE BOU 
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    City                 |    COROZAL
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    State                |    PR
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    Zip                  |    00783-2025
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    Country              |    US
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    Telephone            |    787-859-2415
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    Fax                  |    787-859-2415
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Provider Business Mailing Address
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    Address Line         |    MANS MONTECASINO 1 CODORNIS 294 
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    City                 |    TOA ALTA
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    State                |    PUERTO RICO
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    Zip                  |    00953
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    Country              |    UM
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    Telephone            |    787-479-7010
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    Fax                  |    787-859-2415
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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       |    19-F-3433
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    License Number State |    PR
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