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General NPI Number Information
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NPI Number | 1487840195
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Entity Type | Organization
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Legal Business Name | MEDICAL PHARMACY AND LAB
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | ESQUINA SICILIA 404
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-764-7828
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 51991
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City | TOA BAJA
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State | PR
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Zip | 00950-1991
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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 | PRESIDENTE
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Name | MIGUEL ROBLEDO
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Credential |
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Telephone | 787-707-1983
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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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