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General NPI Number Information
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NPI Number | 1811060395
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Entity Type | Organization
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Legal Business Name | FARMACIA GABRIELLA
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | HC 7 BOX 33330
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City | CAGUAS
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State | PR
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Zip | 00727-9451
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Country | US
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Telephone | 787-258-0805
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Fax | 787-743-3275
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Provider Business Mailing Address
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Address Line | HC 7 BOX 33330
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City | CAGUAS
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State | PR
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Zip | 00727-9451
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Country | US
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Telephone | 787-258-0805
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Fax | 787-743-3275
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSE RAUL DIEPPA
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Credential |
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Telephone | 787-258-0805
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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 | DF-02290-5
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 4916200001
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License Number State | SC
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