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NPI 1669572483

NPI 1669572483 : DALILA BULA : ISABELA, PR

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General NPI Number Information
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    NPI Number           |    1669572483
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    Entity Type          |    Individual 
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    Provider Name        |    DALILA BULA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/22/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    51 CALLE BARBOSA 
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    City                 |    ISABELA
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    State                |    PR
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    Zip                  |    00662-3103
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    Country              |    US
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    Telephone            |    787-872-2410
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4852 
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    City                 |    AGUADILLA
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    State                |    PR
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    Zip                  |    00605-4852
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    Country              |    US
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    Telephone            |    
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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       |    003885
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    License Number State |    PR
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