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General NPI Number Information
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NPI Number | 1780136465
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Entity Type | Individual
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Provider Name | JENNIFER SOTO
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Gender | Female
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Dates
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Enumeration Date | 10/28/2016
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Last Update Date | 02/02/2021
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Provider Practice Location Address
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Address Line | CAPR. PR-2 KM 87.7 INT. PR 130
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City | HATILLO
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State | PR
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Zip | 00659
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Country | US
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Telephone | 787-680-7852
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Fax |
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Provider Business Mailing Address
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Address Line | 152 J RODRIGUEZ IRIZARRY
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City | ARECIBO
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State | PR
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Zip | 00617
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Country | UM
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Telephone |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 011418
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License Number State | PR
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