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General NPI Number Information
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NPI Number | 1457546871
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Entity Type | Organization
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Legal Business Name | FARMACIA PAOLA CORP
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | BO LOS LLANOS CARR 14 KM 26.6
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City | COAMO
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State | PR
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Zip | 00769
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Country | US
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Telephone | 787-803-4433
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Fax | 787-803-4455
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Provider Business Mailing Address
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Address Line | PO BOX 2340
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City | COAMO
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State | PR
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Zip | 00769-4340
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Country | US
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Telephone | 787-803-4433
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | NOELIA CORTES
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Credential | BACHELOR
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Telephone | 787-374-1383
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 17F3160
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License Number State | PR
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