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General NPI Number Information
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NPI Number | 1528395639
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Entity Type | Organization
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Legal Business Name | FARMACIA MARLET INC
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | PR #3 KM 1.3 PR #853 MARGINAL 65 INFANTERIA BO. TRUJILL
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-762-5820
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Fax | 787-762-5820
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Provider Business Mailing Address
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Address Line | PO BOX 808
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City | CAROLINA
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State | PR
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Zip | 00986-0808
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AIDA SOSA
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Credential |
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Telephone | 787-762-5820
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 11F2770
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License Number State | PR
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