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General NPI Number Information
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NPI Number | 1588789606
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Entity Type | Individual
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Provider Name | MRS. MARILYN MALDONADO
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HC 73 BOX 5016
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City | NARANJITO
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State | PR
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Zip | 00719-9124
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Country | US
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Telephone | 787-869-5205
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Fax |
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Provider Business Mailing Address
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Address Line | CARR 164 K.M 1 HECT .3
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City | NARANJITO
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State | PR
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Zip | 00719
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Country | US
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Telephone | 787-869-5205
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 004942
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License Number State | PR
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