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General NPI Number Information
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NPI Number | 1699005447
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Entity Type | Organization
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Legal Business Name | LORAN CORP
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Dates
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Enumeration Date | 12/29/2009
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Last Update Date | 12/29/2009
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Provider Practice Location Address
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Address Line | BO JAUCA 2 SECTOR USERAS CARR 153 KM 3 HM 2
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 787-845-2000
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Fax | 787-845-2000
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Provider Business Mailing Address
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Address Line | 1702 CALLE GARZA URB BRISAS DEL PRADO
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City | SANTA ISABEL
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State | PR
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Zip | 00757-2560
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Country | US
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Telephone | 787-845-2000
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Fax | 787-845-2000
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LORNA Y GONZALEZ
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Credential |
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Telephone | 787-677-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 11-F-2761
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License Number State | PR
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