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General NPI Number Information
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NPI Number | 1922121441
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Entity Type | Individual
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Provider Name | ELIZABETH RIVERA PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | CARR 924 KM 2.8 SECTOR PITAHAYA BO COLLORES
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 787-991-7696
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Fax | 787-991-7695
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Provider Business Mailing Address
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Address Line | BB1-1 CALLE 13 URB VILLA UNIVERSITARIA
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 787-691-2518
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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 | 5133
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License Number State | PR
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