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General NPI Number Information
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NPI Number | 1871887505
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Entity Type | Individual
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Provider Name | NECTOR LUIS SOTO PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 05/28/2011
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Last Update Date | 05/28/2011
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Provider Practice Location Address
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Address Line | 379 AVE LOS PATRIOTAS
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City | LARES
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State | PR
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Zip | 00669-2309
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Country | US
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Telephone | 787-897-2290
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Fax | 787-897-2530
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Provider Business Mailing Address
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Address Line | PO BOX 43 CARRT. 128 KM 40.1 INT BO BUENOS AIRES LARES
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City | LARES
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State | PR
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Zip | 00669-0043
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Country | US
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Telephone | 939-640-0743
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Fax | 787-897-2165
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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 | 2328
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License Number State | PR
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