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General NPI Number Information
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NPI Number | 1659583268
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Entity Type | Organization
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Legal Business Name | ISANIS PRINCIPE DBA FARMACIA MARLENE
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | ROAD 866 KM 1.1 BO. CANDELARIA
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City | TOA BAJA
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-784-4728
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Fax | 787-784-1393
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Provider Business Mailing Address
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Address Line | PO BOX 616
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City | BAYAMON
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State | PR
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Zip | 00960-0616
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Country | US
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Telephone | 787-784-4728
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Fax | 787-784-1393
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ISANIS L PRINCIPE
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Credential | RPH
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Telephone | 787-784-4728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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