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General NPI Number Information
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NPI Number | 1700327509
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Entity Type | Individual
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Provider Name | MR. RAMON SOTO BERMUDEZ
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Gender | Male
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Dates
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Enumeration Date | 03/13/2017
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 26 CALLE MONSERRATE
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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 | 787-824-5665
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Fax |
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Provider Business Mailing Address
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Address Line | 10051 CARR 150 VILLA SANTA CATALINA
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City | COAMO
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State | PR
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Zip | 00769-2982
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Country | US
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Telephone | 787-504-0207
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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 | 2430
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License Number State | PR
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