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NPI 1013185297

NPI 1013185297 : RAUL MARIO LLINAS MD : ANASCO, PR

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General NPI Number Information
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    NPI Number           |    1013185297
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    Entity Type          |    Individual 
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    Provider Name        |    RAUL MARIO LLINAS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/11/2008
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    Last Update Date     |    01/06/2011
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Provider Practice Location Address
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    Address Line         |    SALUD ATU ALCANCE BO. QUEBRADA LARGA ST # 2 KM 142.2
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    City                 |    ANASCO
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    State                |    PR
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    Zip                  |    00610
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    Country              |    US
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    Telephone            |    787-834-6767
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    Fax                  |    787-826-7900
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2093 
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    City                 |    ANASCO
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    State                |    PR
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    Zip                  |    00610-2093
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    Country              |    US
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    Telephone            |    787-669-0024
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    Fax                  |    787-826-7900
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    17527
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    License Number State |    PR
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