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General NPI Number Information
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NPI Number | 1447316948
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Entity Type | Individual
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Provider Name | LUZ AWILDA VEGA PHARMACYTECHNICIAN
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CARR 172 ESQ ASTURIAS 3RA SECC VILLA DEL REY
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-746-5952
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Fax | 787-744-3397
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Provider Business Mailing Address
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Address Line | E14 AVE RICKY SEDA IDAMARIS GARDENS
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City | CAGUAS
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State | PR
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Zip | 00727-5725
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Country | US
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Telephone | 787-744-2168
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Fax | 787-744-3397
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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 | 2303
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License Number State | PR
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