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General NPI Number Information
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NPI Number | 1871452789
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Entity Type | Individual
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Provider Name | VANESSA DIAZ-AYALA
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | CALLE 1 NUM A-8 URB. JARDINES DE YABUCOA C/O PO BOX 490
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City | YABUCOA
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State | PR
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Zip | 00767
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Country | US
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Telephone | 787-893-6709
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Fax | 787-893-7000
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Provider Business Mailing Address
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Address Line | CALLE 1 NUM A-8 URB. JARDINES DE YABUCOA C/O PO BOX 490
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City | YABUCOA
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State | PR
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Zip | 00767
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Country | US
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Telephone | 787-893-6709
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Fax | 787-893-7000
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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 | 015457
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License Number State | PR
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