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General NPI Number Information
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NPI Number | 1780783704
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Entity Type | Individual
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Provider Name | ELIZABETH TOLEDO CRUZ PH
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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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 635 KM 0.1 BO DOMIGUITO SECTOR GREEN
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 178-787-8206
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Fax | 178-787-8206
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Provider Business Mailing Address
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Address Line | 37 CALLE ANTILLA
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City | ARECIBO
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State | PR
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Zip | 00612-3215
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Country | US
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Telephone | 178-781-5576
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Fax | 178-787-8206
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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 | 004507
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License Number State | PR
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