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General NPI Number Information
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NPI Number | 1790827889
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Entity Type | Organization
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Legal Business Name | A. CORDERO BADILLO ,INC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 183 SAN LORENZO SHOPPING CENTER
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City | SAN LORENZO
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State | PR
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Zip | 00754
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Country | US
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Telephone | 787-715-1770
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Fax | 787-715-1771
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Provider Business Mailing Address
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Address Line | PO BOX 458
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City | CATANO
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State | PR
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Zip | 00963-0458
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Country | US
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Telephone | 787-638-8955
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Fax | 787-715-1771
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | LINNETTE VALLELLANES
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Credential | RPH
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Telephone | 787-638-8955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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