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General NPI Number Information
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NPI Number | 1659469039
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Entity Type | Organization
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Legal Business Name | FM SALINAS CORP.
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 12/08/2014
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Provider Practice Location Address
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Address Line | BALDORIOTY #62 SALINAS
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City | SALINAS
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State | PR
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Zip | 00751
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Country | US
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Telephone | 787-248-5562
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE BALDORIOTY #62
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City | SALINAS
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State | PR
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Zip | 00751
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Country | US
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Telephone | 787-824-3072
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. IVAN PABON
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Credential | PHARM D
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Telephone | 787-824-3072
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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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