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General NPI Number Information
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NPI Number | 1780712240
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Entity Type | Individual
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Provider Name | MR. RAYMOND GONZALEZ
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Gender | Male
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CARR 119 K.M 9.2 BO CAMUY ARRIBA
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City | CAMUY
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State | PR
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Zip | 00627
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Country | US
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Telephone | 787-820-2148
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Fax | 787-820-8181
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Provider Business Mailing Address
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Address Line | HC-03 BOX 11925 BO. YEGUADA
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City | CAMUY
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State | PR
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Zip | 00627-9716
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Country | US
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Telephone | 787-262-6254
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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 | 5249
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License Number State | PR
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