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General NPI Number Information
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NPI Number | 1922638311
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Entity Type | Individual
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Provider Name | CARMEN R FERNANDEZ RPH
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Gender | Female
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Dates
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Enumeration Date | 01/24/2020
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | CARRETERA 187 KM 7.0 MEDIANIA ALTA
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City | LOIZA
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State | PR
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Zip | 00772
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Country | US
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Telephone | 787-876-1927
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Fax | 787-256-2777
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Provider Business Mailing Address
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Address Line | CARRETERA 187 KM 7.0 MEDIANIA ALTA
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City | LOIZA
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State | PR
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Zip | 00772
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Country | US
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Telephone | 787-876-1927
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Fax | 787-256-2777
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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 | 3230
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License Number State | PR
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