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General NPI Number Information
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NPI Number | 1487920336
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Entity Type | Individual
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Provider Name | JOHANNY BATISTA PH TECH
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Gender | Female
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 03/26/2012
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Provider Practice Location Address
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Address Line | CAMINO ALEJANDRINO CARRETERA 177
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-740-7000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 253
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City | VEGA ALTA
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State | PR
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Zip | 00692-0253
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Country | US
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Telephone | 787-669-0977
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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 | 007346
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License Number State | PR
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