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General NPI Number Information
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NPI Number | 1659704609
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Entity Type | Individual
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Provider Name | SUJEY J ROLON PHARM D.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 7570 KMART PHARMACY DE DIEGO EXPRESSWAY
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-795-5088
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Fax | 787-784-3290
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Provider Business Mailing Address
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Address Line | 206 CALLE ALAMO GRAND PALM II
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City | VEGA ALTA
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State | PR
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Zip | 00692-9029
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Country | US
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Telephone | 787-447-1693
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5580
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License Number State | PR
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