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General NPI Number Information
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NPI Number | 1932241478
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Entity Type | Individual
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Provider Name | WANDA I PEREZPAGAN RPH
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12 CALLE INFANZON
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City | CAMUY
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State | PR
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Zip | 00627-2611
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Country | US
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Telephone | 787-898-3447
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Fax | 787-898-3447
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Provider Business Mailing Address
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Address Line | HC 6 BOX 13795
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City | HATILLO
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State | PR
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Zip | 00659-9544
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Country | US
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Telephone | 787-544-7602
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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 | 3441
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License Number State | PR
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