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General NPI Number Information
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NPI Number | 1821681818
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Entity Type | Individual
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Provider Name | VANESSA PEREZ PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | CARR 149 KM 18 BO. PESAS
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City | CIALES
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State | PR
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Zip | 00638
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Country | US
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Telephone | 787-421-6977
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5000 PMB 441
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City | CAMUY PR
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State | PR
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Zip | 00627
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Country | US
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Telephone | 787-421-6977
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3914
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License Number State | PR
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