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General NPI Number Information
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NPI Number | 1578060679
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Entity Type | Individual
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Provider Name | OSVALDO ANDRES ANTOMMATTEI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 106 CALLE PIEL CANELA
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City | COAMO
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State | PR
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Zip | 00769
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Country | US
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Telephone | 787-803-6802
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Fax | 787-803-6807
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Provider Business Mailing Address
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Address Line | PO BOX 10567
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City | PONCE
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State | PR
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Zip | 00732-0567
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Country | US
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Telephone | 787-599-2539
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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 | 6473
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License Number State | PR
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