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General NPI Number Information
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NPI Number | 1639581721
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Entity Type | Organization
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Legal Business Name | WOMAN & PRENATAL CARE OF PUERTO RICO
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Dates
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Enumeration Date | 05/23/2014
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Last Update Date | 05/23/2014
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Provider Practice Location Address
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Address Line | 607A CALLE DEL PARQUE
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City | SAN JUAN
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State | PR
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Zip | 00909-2307
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Country | US
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Telephone | 787-723-8482
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Fax | 787-722-1312
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Provider Business Mailing Address
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Address Line | PO BOX 8310 FERNANDEZ JUNCOS STATION
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City | SAN JUAN
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State | PR
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Zip | 00910-0310
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Country | US
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Telephone | 787-723-8482
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Fax | 787-722-1312
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LAUREN LYNCH
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Credential | MD
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Telephone | 787-722-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 9145-14
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License Number State | PR
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