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General NPI Number Information
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NPI Number | 1699812792
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Entity Type | Individual
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Provider Name | INGRID G RODRIGUEZ RPH
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MUNOZ RIVERA ST 33
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City | SALINAS
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State | PR
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Zip | 00751
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Country | US
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Telephone | 787-824-7777
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Fax | 787-824-8888
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Provider Business Mailing Address
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Address Line | PO BOX 2040
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City | GUAYAMA
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State | PR
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Zip | 00785-2040
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Country | US
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Telephone | 787-864-7669
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Fax | 787-824-8888
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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 | 4500
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License Number State | PR
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