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General NPI Number Information
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NPI Number | 1568677847
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Entity Type | Individual
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Provider Name | EMIRALLYS MARTINEZ
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CARR. 14 #333
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City | COTO LAUREL
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State | PR
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Zip | 00780
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Country | US
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Telephone | 787-651-0484
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Fax | 787-651-0486
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Provider Business Mailing Address
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Address Line | LAS CANITAS CALLE EL SENORIAL #8 BOX 7072
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City | PONCE
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State | PR
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Zip | 00728
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Country | US
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Telephone | 787-840-5856
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Fax | 787-651-0486
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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 | 5059
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License Number State | PR
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