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General NPI Number Information
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NPI Number | 1609029412
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Entity Type | Organization
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Legal Business Name | FARMACIA UPR-CTU
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 10/24/2008
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Provider Practice Location Address
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Address Line | GAMMA PROJECT CARDIOVASCULAR CTR FL 8 SUITE 837
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City | SAN JUAN
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State | PR
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Zip | 00935-0001
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Country | US
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Telephone | 787-759-9595
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Fax | 787-754-5564
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Provider Business Mailing Address
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Address Line | GAMMA PROJECT CARDIOVASCULAR CTR FL 8 SUITE 837
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City | SAN JUAN
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State | PR
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Zip | 00935-0001
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Country | US
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Telephone | 787-759-9595
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Fax | 787-754-5564
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Authorized Official
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Title or Position | PRINCIPAL INVESTIGATOR
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Name | DR. CARMEN D ZORRILLA
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Credential | M.D.
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Telephone | 787-759-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State | PR
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