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General NPI Number Information
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NPI Number | 1831210947
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Entity Type | Individual
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Provider Name | WANDA NOEMI CASIANO
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | FARMACIA HOSPITAL METROPOLITANO CALLE JAVILLA #63
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City | SAN GERMAN
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State | PR
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Zip | 00683
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Country | US
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Telephone | 787-892-2865
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE 8#172 LA PARGUERA HC-01 BOX 4710
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City | LAJAS
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State | PR
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Zip | 00667-9704
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Country | US
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Telephone | 787-538-4811
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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 |
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License Number State | PR
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