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General NPI Number Information
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NPI Number | 1750425864
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Entity Type | Individual
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Provider Name | CARMEN J DIAZ RPH
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 19 CALLE MUNOZ RIVERA
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City | SALINAS
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State | PR
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Zip | 00751-3332
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Country | US
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Telephone | 787-824-2220
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Fax | 787-824-5617
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Provider Business Mailing Address
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Address Line | 1711 CALLE GARZA BRISAS DEL PRADO
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City | SANTA ISABEL
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State | PR
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Zip | 00757-2560
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Country | US
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Telephone | 787-845-2496
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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 | 4360
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License Number State | PR
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