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General NPI Number Information
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NPI Number | 1649898875
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Entity Type | Organization
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Legal Business Name | GRUPO NG L.L.C
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | PLAZA DE HOSTOS LOCAL 8 CARR #2 KM 151
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City | MAYAGUEZ
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State | PR
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Zip | 00682
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Country | US
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Telephone | 787-808-5501
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Fax | 787-808-5502
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Provider Business Mailing Address
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Address Line | PO BOX 1307
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City | HORMIGUEROS
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State | PR
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Zip | 00660-5307
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Country | US
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Telephone | 787-808-5501
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Fax | 787-808-5502
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Authorized Official
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Title or Position | PHARMACIST
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Name | SHUK LING NG
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Credential |
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Telephone | 787-808-5501
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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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