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NPI 1649291220

NPI 1649291220 : ERIKA OSSO I : TOA ALTA, PR

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General NPI Number Information
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    NPI Number           |    1649291220
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    Entity Type          |    Individual 
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    Provider Name        |    ERIKA OSSO I
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/21/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    B35 CALLE 6 URB SAN FERNANDO
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    City                 |    TOA ALTA
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    State                |    PR
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    Zip                  |    00953-2205
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    Country              |    US
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    Telephone            |    787-501-3577
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    Fax                  |    787-870-7939
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Provider Business Mailing Address
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    Address Line         |    95 CALLE ROBLE HACIENDA MI QUERIDO VIEJO
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    City                 |    DORADO
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    State                |    PR
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    Zip                  |    00646-2612
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    Country              |    US
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    Telephone            |    787-501-3577
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    Fax                  |    787-870-7939
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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       |    4739
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    License Number State |    PR
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