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General NPI Number Information
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NPI Number | 1205860723
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Entity Type | Individual
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Provider Name | JAVIER ENRIQUE ECHEVARRIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | LUIS MUNOZ MARIN AVE #138
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City | COAMO
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State | PR
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Zip | 00769
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Country | US
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Telephone | 787-803-0105
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Fax |
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Provider Business Mailing Address
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Address Line | PARAISO DE COAMO 625 CALLE PAZ
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City | COAMO
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State | PR
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Zip | 00769-9324
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Country | US
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Telephone | 787-409-9414
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 15429
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License Number State | PR
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