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General NPI Number Information
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NPI Number | 1922337468
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Entity Type | Organization
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Legal Business Name | MUNICIPALITY OF SAN JUAN PR
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Dates
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Enumeration Date | 12/11/2009
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Last Update Date | 12/11/2009
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Provider Practice Location Address
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Address Line | AVENIDA 65 DE INFANTERIA KM.3.4 BO. SABANA LLANA RIO PI
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City | RIO PIEDRAS
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-767-7676
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Fax | 787-765-1340
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Provider Business Mailing Address
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Address Line | AVENIDA 65 DE INFANTERIA KM.3.4 BO. SABANA LLANA RIO PI
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City | RIO PIEDRAS
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-767-7676
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Fax | 787-765-1340
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Authorized Official
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Title or Position | REGENT PHARMACYST
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Name | LUZ COSME SANCHEZ
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Credential |
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Telephone | 787-767-7676
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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 | 11F0090
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License Number State | PR
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