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General NPI Number Information
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NPI Number | 1497666135
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Entity Type | Individual
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Provider Name | PATRICIA NICOLE LOPEZ GARCIA
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 65TH INFANTRY SH. CTR 00253-5
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City | SAN JUAN
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State | PR
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Zip | 00925-3215
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Country | US
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Telephone | 787-767-1736
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Fax |
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Provider Business Mailing Address
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Address Line | 631 CALLE PEREIRA LEAL APT 403
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City | SAN JUAN
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State | PR
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Zip | 00923-1932
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Country | US
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Telephone | 939-318-9535
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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 | 17222
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License Number State | PR
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