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General NPI Number Information
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NPI Number | 1447588165
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Entity Type | Individual
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Provider Name | MISS MYRIAM SANTOS
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Gender | Female
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | C/ATENAS DF-3 SANTA JUANITA
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-767-0012
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Fax | 787-751-4374
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Provider Business Mailing Address
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Address Line | DF3 ATENAS STREET SANTA JUANITA
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-767-0012
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Fax | 787-751-4374
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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 | 2765
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License Number State | PR
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