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General NPI Number Information
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NPI Number | 1518486240
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Entity Type | Individual
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Provider Name | YESEIDA GARAY COTTO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/13/2017
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Last Update Date | 09/13/2017
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Provider Practice Location Address
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Address Line | MARGINAL AVENIDA KENNEDY CALLE SEGARRA EDIF. #411
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City | SAN JUAN
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State | PR
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Zip | 00936
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Country | US
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Telephone | 787-642-9748
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Fax |
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Provider Business Mailing Address
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Address Line | HC 10 BOX 49210
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City | CAGUAS
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State | PR
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Zip | 00725-9663
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Country | US
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Telephone | 787-374-5778
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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 | 208U00000X
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Taxonomy Name | Clinical Pharmacology Physician
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License Number | 6314
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License Number State | PR
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