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General NPI Number Information
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NPI Number | 1962121459
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Entity Type | Individual
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Provider Name | NILSA PAOLA FLORES MARTINEZ PHARMACY TECHNICIAN
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Gender | Female
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | CARR 181 KM 0.3 R 745 BO ESPINO
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City | SAN LORENZO
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State | PR
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Zip | 00754
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Country | US
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Telephone | 787-736-0069
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1346
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City | GURABO
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State | PR
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Zip | 00778-1346
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Country | US
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Telephone | 787-736-0069
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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 | 013840
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License Number State | PR
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