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General NPI Number Information
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NPI Number | 1851685424
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Entity Type | Individual
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Provider Name | LIZBETH CARRILLO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | CARRETERA #2 KM98.9 BARRIO COCOS
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City | QUEBRDILLAS
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State | PR
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Zip | 00659
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Country | US
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Telephone | 787-615-6420
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Fax |
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Provider Business Mailing Address
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Address Line | 40243 PR 2 BO COCOS
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City | QUEBRADILLAS
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State | PR
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Zip | 00678
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Country | US
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Telephone | 787-589-3277
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Fax | 787-589-7369
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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 | 5201
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License Number State | PR
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