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General NPI Number Information
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NPI Number | 1912435512
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Entity Type | Individual
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Provider Name | JOSE D NIEVES PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | CARR PR 167 INT PR 829
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City | BAYAMON
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State | PR
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Zip | 00956-8004
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Country | US
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Telephone | 787-730-3580
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Fax |
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Provider Business Mailing Address
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Address Line | CARR 167 INT 829
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City | BAYAMON
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State | PR
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Zip | 00956-8004
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Country | US
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Telephone | 787-730-3580
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Fax |
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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 | 5505
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License Number State | PR
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