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General NPI Number Information
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NPI Number | 1821450636
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Entity Type | Individual
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Provider Name | NOMARIS BENITEZ-PAGAN CPHT
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Gender | Female
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | CALLE SANTA CRUZ #68 TORRE SAN PABLO SUITE #2
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City | BAYAMON
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State | PR
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Zip | 00961-0096
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Country | US
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Telephone | 787-620-4334
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Fax |
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Provider Business Mailing Address
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Address Line | 68 CALLE SANTA CRUZ
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City | BAYAMON
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State | PR - PUERTO RICO
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Zip | 00961-7031
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Country | UM
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Telephone | 787-462-6102
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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 | 9940
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License Number State | PR
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