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General NPI Number Information
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NPI Number | 1992101562
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Entity Type | Organization
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Legal Business Name | GONZALEZ &SANTIAGO
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Dates
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Enumeration Date | 11/10/2014
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Last Update Date | 11/10/2014
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Provider Practice Location Address
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Address Line | #31 MUNOZ RIVERA
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City | VILLALBA
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State | PR
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Zip | 00766
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Country | US
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Telephone | 787-618-4719
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1501
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City | VILLALBA
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State | PR
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Zip | 00766
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Country | US
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Telephone | 787-618-4719
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | MS. SARITZIA BERMUDEZ
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Credential |
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Telephone | 787-618-4719
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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 | 7560-10
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License Number State | PR
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