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General NPI Number Information
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NPI Number | 1568841039
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Entity Type | Organization
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Legal Business Name | JULIO E VAZQUEZ SUAREZ
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Dates
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Enumeration Date | 05/29/2015
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Last Update Date | 05/29/2015
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Provider Practice Location Address
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Address Line | CARR. 169 KM. 7.2 21 LOCAL 1 BO. CAMARONES
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City | GUAYNABO
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State | PR
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Zip | 00970
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Country | US
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Telephone | 787-479-8108
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Fax |
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Provider Business Mailing Address
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Address Line | 786 CALLE PETIRROJO LOS MONTES
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City | DORADO
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State | PR
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Zip | 00646
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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 | PHARMACIST OWNER
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Name | DR. JULIO E VAZQUEZ
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Credential | PARMA D
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Telephone | 787-479-8108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | PR
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