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General NPI Number Information
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NPI Number | 1972710184
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Entity Type | Organization
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Legal Business Name | ALEIDA L. RODRIGUEZ INC.
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 03/10/2016
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Provider Practice Location Address
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Address Line | 35 CALLE E BETANCES
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City | VEGA BAJA
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State | PR
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Zip | 00693-4465
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Country | US
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Telephone | 787-858-4215
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Fax | 787-858-4215
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Provider Business Mailing Address
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Address Line | 33 CALLE BETANCES
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-858-4215
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Fax | 787-858-4215
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Authorized Official
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Title or Position | PHARMACIST
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Name | ALEIDA L. RODRIGUEZ
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Credential |
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Telephone | 787-858-4215
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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 | 07F1258
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License Number State | PR
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