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General NPI Number Information
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NPI Number | 1598586646
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Entity Type | Individual
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Provider Name | STEPHANIE L PARSON PEREZ
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Gender | Female
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 200 CALLE MUNOZ RIVERA #2228
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 787-863-0810
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Fax |
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Provider Business Mailing Address
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Address Line | EXT VEVE CALZADA P29 AVE A
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 787-206-7676
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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 | 16606
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License Number State | PR
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