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General NPI Number Information
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NPI Number | 1740491992
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Entity Type | Individual
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Provider Name | MRS. CARMEN V. LOZADA
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Gender | Female
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Dates
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Enumeration Date | 05/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 829 AVE SAN PATRICIO STE 1 LAS LOMAS
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City | SAN JUAN
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State | PR
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Zip | 00921-1313
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Country | US
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Telephone | 787-783-3755
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Fax |
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Provider Business Mailing Address
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Address Line | 80 CALLE 3 ARCOS EN SUCHVILLE APT 306
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City | GUAYNABO
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State | PR
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Zip | 00966-1679
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Country | US
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Telephone | 787-501-2351
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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 | 1758
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License Number State | PR
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