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NPI 1790464303

NPI 1790464303 : NATALIA RODRIGUEZ REYES : TRUJILLO ALTO, PR

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General NPI Number Information
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    NPI Number           |    1790464303
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    Entity Type          |    Individual 
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    Provider Name        |    NATALIA RODRIGUEZ REYES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/12/2023
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    Last Update Date     |    07/12/2023
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Provider Practice Location Address
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    Address Line         |    ALTURAS DE FAIRVIEW D29 CALLE 7 
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    City                 |    TRUJILLO ALTO
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    State                |    PR
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    Zip                  |    00976
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    Country              |    US
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    Telephone            |    787-949-9493
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    ALTURAS DE FAIRVIEW D29 CALLE 7 
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    City                 |    TRUJILLO ALTO
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    State                |    PR
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    Zip                  |    00976
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    Country              |    US
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    Telephone            |    787-949-9493
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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       |    015893
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    License Number State |    PR
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