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General NPI Number Information
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NPI Number | 1861539405
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Entity Type | Organization
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Legal Business Name | FAMMA GROUP CORPORATION
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2003 CARR 506 STE 101 PLAZA SAN CRISTOBAL 2003
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City | COTO LAUREL
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State | PR
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Zip | 00780-2927
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Country | US
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Telephone | 787-812-3789
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 801091
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City | COTO LAUREL
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State | PR
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Zip | 00780-1091
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Country | US
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Telephone | 787-812-3789
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Fax | 787-812-3787
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARMANDO MUNOZ
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Credential |
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Telephone | 787-812-3789
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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 | 07F2285
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License Number State | PR
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