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General NPI Number Information
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NPI Number | 1689729675
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Entity Type | Individual
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Provider Name | JOSE MEJIAS REGISTERED PHARMACIS
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | FARMACIA NUEVA LTD INC #58 LUIS MUNOZ RIVERA STREET
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City | VEGA ALTA
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State | PR
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Zip | 00692
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Country | US
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Telephone | 787-883-2460
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Fax | 787-883-6151
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Provider Business Mailing Address
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Address Line | PO BOX 2195 VEGA ALTA PR 00692 #58 LUIS MUNOZ RIVERA STREET
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City | VEGA ALTA
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State | PR
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Zip | 00692
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Country | US
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Telephone | 787-883-2460
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Fax | 787-883-6151
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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 | 3532
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS22688
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License Number State | FL
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