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General NPI Number Information
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NPI Number | 1992850176
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Entity Type | Organization
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Legal Business Name | FARMACIAS MARILYN
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | CALLE SANTA ANA 233A BO.COCO
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City | SALINAS
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State | PR
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Zip | 00751
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Country | US
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Telephone | 787-824-2617
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Fax | 787-824-2800
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Provider Business Mailing Address
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Address Line | PO BOX 3030
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City | YAUCO
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State | PR
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Zip | 00698-3030
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Country | US
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Telephone | 787-824-2617
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Fax | 787-853-0436
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARILYN VEGA
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Credential | PHARMD
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Telephone | 787-824-2617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 08-F-2245
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License Number State | PR
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