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General NPI Number Information
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NPI Number | 1568665008
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Entity Type | Individual
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Provider Name | JAVIER GONZALEZ ORTIZ R. PH.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1-350 G NOEL ESTRADA
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City | ISABELA
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State | PR
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Zip | 00662-1127
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Country | US
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Telephone | 787-872-1930
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Fax | 787-872-2145
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Provider Business Mailing Address
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Address Line | 51 SEVILLA URB. VISTA ALEGRE
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City | AGUADILLA
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State | PR
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Zip | 00603-0000
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Country | US
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Telephone | 787-891-2748
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Fax | 787-872-2145
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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 | 4497
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License Number State | PR
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