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General NPI Number Information
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NPI Number | 1427679968
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Entity Type | Individual
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Provider Name | CARMEN ABIGAIL ORTIZ I
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Gender | Female
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 1 REXVILLE PLZ STE 13
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City | BAYAMON
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State | PR
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Zip | 00957-4156
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Country | US
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Telephone | 787-797-2950
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Fax |
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Provider Business Mailing Address
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Address Line | CARR 2 VILLA GUAYNABO PLAZA 225 APART 402
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City | GUAYNABO
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State | PR
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Zip | 00966
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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 |
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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 | 04073
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License Number State | PR
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