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General NPI Number Information
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NPI Number | 1598020042
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Entity Type | Individual
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Provider Name | JOSE ENRIQUE MELENDEZ RPH
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Gender | Male
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 07/11/2012
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Provider Practice Location Address
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Address Line | TERRAZAS DE PARQUE ESCORIAL 605 MEDIA LUNA #6105
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City | CAROLINA
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State | PR
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Zip | 00924-1111
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Country | US
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Telephone | 787-309-8154
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Fax | 787-999-7205
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Provider Business Mailing Address
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Address Line | TERRAZAS PARQUE ESCORIAL 605 BLV MEDIA LUNA APT #6105
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City | CAROLINA
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State | PR
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Zip | 00982
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Country | US
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Telephone | 787-309-8154
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Fax | 787-999-7205
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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 | 5155
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License Number State | PR
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