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General NPI Number Information
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NPI Number | 1811364730
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Entity Type | Individual
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Provider Name | MS. JANICE PACHECO
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Gender | Female
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 1800 CARR 14
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City | COTO LAUREL
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State | PR
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Zip | 00780-2163
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Country | US
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Telephone | 787-651-0484
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 177 PO BOX 2000
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City | MERCEDITAS
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State | PUERTO RICO
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Zip | 00715
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Country | PK
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Telephone |
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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 | 9070
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License Number State | PR
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