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General NPI Number Information
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NPI Number | 1528109600
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Entity Type | Individual
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Provider Name | NOEMI BERRIOS PH
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Gender | Female
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | FARMACIA COOPERATIVA SAN MIGUEL 152 STREET KM 17.8
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City | NARANJITO
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State | PR
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Zip | 00719-0459
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Country | US
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Telephone | 787-869-4710
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Fax | 787-869-1416
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Provider Business Mailing Address
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Address Line | HC 71 BOX 3011
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City | NARANJITO
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State | PR
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Zip | 00719-9739
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Country | US
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Telephone | 787-869-2506
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Fax | 787-869-7545
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3140
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License Number State | PR
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