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General NPI Number Information
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NPI Number | 1831391630
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Entity Type | Individual
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Provider Name | NELSON VALE RPH
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Gender | Male
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | PR 110 KM 22.7 BO. CEIBA BAJA
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-882-2000
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Fax | 787-891-8614
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Provider Business Mailing Address
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Address Line | HC 2 BOX 21786
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-9240
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Country | US
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Telephone | 787-236-9781
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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 | 4942
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License Number State | PR
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