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General NPI Number Information
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NPI Number | 1821126418
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Entity Type | Individual
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Provider Name | AUREA NIEVES PH
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 152 STREET KM 17.8 FARMACIA COOPERATIVA SAN MIGUEL
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City | NARANJITO
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State | PR
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Zip | 00719-0459
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Country | US
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Telephone | 787-869-4710
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Fax | 787-869-1416
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Provider Business Mailing Address
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Address Line | PO BOX 75
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City | AIBONITO
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State | PR
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Zip | 00705-0075
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Country | US
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Telephone | 787-638-3812
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Fax | 787-869-1416
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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 | 4195
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License Number State | PR
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