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NPI 1942599212

NPI 1942599212 : MRS. MARIA NIEVES VELAZQUEZ : ADJUNTAS, PR

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General NPI Number Information
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    NPI Number           |    1942599212
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. MARIA NIEVES VELAZQUEZ
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/07/2011
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    Last Update Date     |    04/07/2011
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Provider Practice Location Address
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    Address Line         |    CARR 129 KM 4 4 HC 01 BOX 4128
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    City                 |    ADJUNTAS
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    State                |    PR
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    Zip                  |    00601-9710
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    Country              |    US
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    Telephone            |    787-829-5029
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    CARR 129 KM 4.4 HC 01 BOX 4128
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    City                 |    ADJUNTAS
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    State                |    PR
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    Zip                  |    00601
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    Country              |    UM
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    Telephone            |    787-829-5029
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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        |    183700000X
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    Taxonomy Name        |    Pharmacy Technician
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    License Number       |    7880
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    License Number State |    PR
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