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General NPI Number Information
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NPI Number | 1972959575
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Entity Type | Individual
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Provider Name | MELANIE RIOS
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Gender | Female
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Dates
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Enumeration Date | 05/12/2016
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | CARR 818 KM 0.1 BO CIBUCO
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City | COROZAL
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State | PR
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Zip | 00873
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Country | US
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Telephone | 787-859-0470
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Fax | 787-859-1620
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Provider Business Mailing Address
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Address Line | HC 2 BOX 8231A
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City | COROZAL
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State | PR
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Zip | 00783-6050
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Country | US
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Telephone |
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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 | 7933
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License Number State | PR
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