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General NPI Number Information
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NPI Number | 1487326153
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Entity Type | Individual
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Provider Name | JOHANA ROSA PHARMACY TECHNICIAN
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Gender | Female
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 1484 AVE F D ROOSEVELT SUITE 19
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City | SAN JUAN
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State | PR
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Zip | 00920-2732
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Country | US
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Telephone | 787-783-4510
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Fax | 787-792-0831
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Provider Business Mailing Address
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Address Line | 1484 AVE. F. D. ROOSEVELT, SUITE 19
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City | SAN JUAN
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State | PR
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Zip | 00920-2732
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Country | US
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Telephone | 787-783-4510
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Fax | 787-792-0831
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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 | 14734
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License Number State | PR
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