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General NPI Number Information
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NPI Number | 1609084185
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Entity Type | Individual
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Provider Name | SANTIALIZ FERNANDEZ PHARM.D. R.PH.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | LOS PRADOS EL VALLE 299 (H11) PASEO DEL FLAMBOYAN
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City | CAGUAS
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State | PR
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Zip | 00727-3221
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Country | US
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Telephone | 787-653-0237
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9846
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City | CAGUAS
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State | PR
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Zip | 00726-9846
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Country | US
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Telephone | 787-653-0237
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 4799
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License Number State | PR
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