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General NPI Number Information
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NPI Number | 1518011949
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Entity Type | Organization
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Legal Business Name | FARMACIA LIDELIZ
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 43 CALLE PRINCIPAL
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City | MOROVIS
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State | PR
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Zip | 00687-3051
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Country | US
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Telephone | 787-862-5279
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Fax | 787-862-5279
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Provider Business Mailing Address
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Address Line | 43 CALLE PRINCIPAL
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City | MOROVIS
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State | PR
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Zip | 00687-3051
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Country | US
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Telephone | 787-862-5279
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Fax | 787-862-5279
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CLARIBEL COLON SIFONTE
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Credential | RPH
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Telephone | 787-862-5279
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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 | 07-F-2297
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License Number State | PR
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