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General NPI Number Information
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NPI Number | 1518028232
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Entity Type | Organization
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Legal Business Name | FARMACIA QUESADA INC.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 75 CALLE 25 DE JULIO
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City | GUANICA
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State | PR
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Zip | 00653-2804
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Country | US
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Telephone | 787-821-3065
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 488
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City | GUANICA
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State | PR
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Zip | 00653-0488
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Country | US
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Telephone | 787-821-3065
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MERINELDA QUESADA
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Credential |
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Telephone | 787-821-3065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 07-F-1071
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License Number State | PR
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