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General NPI Number Information
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NPI Number | 1285884486
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Entity Type | Individual
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Provider Name | LISSETTE SALGUEIRO CANETTI MD
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Gender | Female
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | HIMA PLAZA 1 STE 502 DEGETAU AVE #500
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City | CAGUAS
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State | PR
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Zip | 00725-7301
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Country | US
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Telephone | 787-961-4656
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Fax |
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Provider Business Mailing Address
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Address Line | 1315 ASHFORD AVE APT. 1105
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City | SAN JUAN
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State | PR
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Zip | 00907
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Country | US
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Telephone | 787-961-4655
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A125208
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 17972
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License Number State | PR
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