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General NPI Number Information
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NPI Number | 1710470372
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Entity Type | Individual
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Provider Name | MILTON ARIEL RODRIGUEZ SR.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 68 CALLE SANTA CRUZ TORRE SAN PABLO SUITE 2
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-620-4747
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Fax | 787-620-9161
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Provider Business Mailing Address
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Address Line | 68 CALLE SANTA CRUZ TORRE SAN PABLO SUITE 2
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-620-4747
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Fax | 787-620-9161
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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 | 002584
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License Number State | PR
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