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General NPI Number Information
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NPI Number | 1538591110
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Entity Type | Individual
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Provider Name | LYANN LYNNETTE RODRIGUEZ-ALVAREZ PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | AVE. PARANA RIO PIEDRAS HEIGHTS FARMACIA REYES 2
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-764-2899
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Fax |
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Provider Business Mailing Address
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Address Line | 1357 CALLE ALDEA APT. 1
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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 | 787-512-9769
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5335
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License Number State | PR
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