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General NPI Number Information
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NPI Number | 1669407367
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Entity Type | Individual
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Provider Name | SORAYA CONDE RPH
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Gender | Female
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | KM 12.6 65 TH INFANTRY AVE.
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-257-5949
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Fax |
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Provider Business Mailing Address
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Address Line | AL5 VIA ELENA VILLA FONTANA,
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City | CAROLINA
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State | PR
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Zip | 00983-3901
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Country | US
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Telephone | 787-701-2440
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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 | 4630
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License Number State | PR
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