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General NPI Number Information
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NPI Number | 1992290712
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Entity Type | Individual
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Provider Name | SANDRA MELENDEZ BS PH
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Gender | Female
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | CARR 14 KM 12.0 BARRIO RINCON SECTOR LOMAS
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City | CAYEY
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State | PR
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Zip | 00736
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Country | US
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Telephone | 787-535-1530
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Fax | 787-535-1103
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Provider Business Mailing Address
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Address Line | CARLOMAGNO ST 2 F8 VILLA DEL REY
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-217-9294
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2242
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License Number State | PR
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