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General NPI Number Information
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NPI Number | 1861575326
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Entity Type | Organization
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Legal Business Name | ROBERTO HERNANDEZ CLAUDIO
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | CALLE RUIZ BELVIS NO 41
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City | CAGUAS
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State | PR
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Zip | 00725-3784
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Country | US
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Telephone | 787-743-3084
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Fax | 787-745-4863
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Provider Business Mailing Address
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Address Line | CALLE RUIZ BELVIS NO 41
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City | CAGUAS
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State | PR
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Zip | 00725-3784
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Country | US
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Telephone | 787-743-3084
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Fax | 787-745-4863
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Authorized Official
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Title or Position | DUENO
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Name | MR. ROBERTO HERNANDEZ
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Credential |
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Telephone | 787-743-3084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 06F2257
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License Number State | PR
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