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General NPI Number Information
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NPI Number | 1053533067
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Entity Type | Individual
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Provider Name | LUIS A ALMODOVAR MARCHANY MD
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | AVE LUIS MUNOZ MARIN #6
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City | HORMIGUEROS
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State | PR
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Zip | 00660
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Country | US
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Telephone | 787-849-3055
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Fax | 787-849-3351
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Provider Business Mailing Address
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Address Line | BOX 793
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City | HORMIGUEROS
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State | PR
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Zip | 00660
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Country | US
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Telephone | 787-849-3055
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Fax | 787-849-3351
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 5306
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License Number State | PR
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