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General NPI Number Information
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NPI Number | 1649500505
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Entity Type | Individual
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Provider Name | MR. JORGE LUIS SANMIGUEL
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Gender | Male
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Dates
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Enumeration Date | 12/28/2009
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | CARR 3 KM 134.8 PLAZA GUAYAMA MALL
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City | GUAYAMA
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State | PR
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Zip | 00784
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Country | US
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Telephone | 787-866-2222
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Fax |
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Provider Business Mailing Address
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Address Line | CARR 3 KM 134.8 PLAZA GUAYAMA MALL
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City | GUAYAMA
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State | PR
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Zip | 00784
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Country | US
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Telephone |
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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