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General NPI Number Information
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NPI Number | 1528374584
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Entity Type | Individual
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Provider Name | MR. JUAN MANUEL ALEMAN
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Gender | Male
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 3305 AVE BARAMAYA REINA DEL SUR MALL (WALMART)
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City | PONCE
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State | PR
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Zip | 00728-2756
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Country | US
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Telephone | 178-770-9403
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Fax | 787-709-4039
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Provider Business Mailing Address
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Address Line | 3305 AVE BARAMAYA REINA DEL SUR MALL (WALMART)
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City | PONCE
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State | PR
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Zip | 00728-2756
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Country | US
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Telephone | 178-770-9403
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Fax | 787-709-4039
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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 | 21146
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License Number State | PR
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