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General NPI Number Information
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NPI Number | 1528509494
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Entity Type | Individual
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Provider Name | ZULEIKA MARIE CORALES PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 03/13/2017
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | CALLE LABRA, ESQUINA CALLE CORCHADO, PARADA 18
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-641-5606
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Fax | 787-945-5016
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Provider Business Mailing Address
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Address Line | 701 RH TODD
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City | SAN JUAN
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State | PR
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Zip | 00907
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Country | US
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Telephone | 787-641-5606
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Fax | 787-945-5016
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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 | 6458
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License Number State | PR
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