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General NPI Number Information
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NPI Number | 1992887772
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Entity Type | Organization
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Legal Business Name | JESSICA I RAMIREZ RAMOS
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | CALLE 116 KM 1.3
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City | LAJAS
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State | PR
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Zip | 00667
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Country | US
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Telephone | 787-899-4356
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Fax | 787-899-6058
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Provider Business Mailing Address
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Address Line | PO BOX 1690
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City | LAJAS
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State | PR
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Zip | 00667-1690
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Country | US
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Telephone | 787-899-4356
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Fax | 787-899-6058
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA RAMIREZ RAMOS
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Credential | RPH
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Telephone | 787-899-1476
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 11F2548
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License Number State | PR
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