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General NPI Number Information
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NPI Number | 1467660043
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Entity Type | Individual
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Provider Name | HIDELGARY ESTRADA
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | AVE PARANA RIO PIEDRAS HEIGHTS
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City | RIO PIEDRAS
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-429-2022
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Fax | 787-274-8477
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Provider Business Mailing Address
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Address Line | PO BOX 4187 P.O BOX 4187
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City | CAROLINA
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State | PR
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Zip | 00984-4187
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 4607
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License Number State | PR
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