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General NPI Number Information
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NPI Number | 1659742500
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Entity Type | Individual
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Provider Name | MRS. ELBA D MORALES
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Gender | Female
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Dates
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Enumeration Date | 10/16/2015
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | CARR. 411 KM 2.8 BO. JAGUEY
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-589-7281
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Fax | 787-589-7283
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Provider Business Mailing Address
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Address Line | PO BOX 251
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City | AGUADA
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State | PR
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Zip | 00602-0251
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Country | US
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Telephone | 787-589-7281
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Fax | 787-589-7283
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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 | 17-F-3320
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License Number State | PR
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