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General NPI Number Information
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NPI Number | 1710216619
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Entity Type | Organization
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Legal Business Name | GARAMA M.R. INC.
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Dates
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Enumeration Date | 12/24/2009
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Last Update Date | 12/24/2009
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Provider Practice Location Address
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Address Line | 489 AVE. EMILIANO POL URB LA CUMBRE
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City | SAN JUAN
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State | PR
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Zip | 00926-5627
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Country | US
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Telephone | 787-708-1300
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Fax | 787-708-1800
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Provider Business Mailing Address
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Address Line | 351 CALLE FLOR DE SIERRA HACIENDA REAL
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City | CAROLINA
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State | PR
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Zip | 00987-9781
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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 | PRESIDENT
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Name | MABEL J FEBRES
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Credential |
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Telephone | 787-467-9106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | PR
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