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General NPI Number Information
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NPI Number | 1336250919
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Entity Type | Individual
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Provider Name | JOSE ANTONIO ECHEVERRI M.D., DABR
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/21/2019
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Provider Practice Location Address
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Address Line | 3601 S 6TH AVE
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City | TUCSON
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State | AZ
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Zip | 85723-0001
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Country | US
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Telephone | 520-629-4630
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Fax | 520-629-4638
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Provider Business Mailing Address
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Address Line | 3601 S 6TH AVE
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City | TUCSON
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State | AZ
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Zip | 85723-0001
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Country | US
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Telephone | 520-629-4630
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Fax | 520-629-4638
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD034620
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME108492
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 40352
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License Number State | AZ
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