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General NPI Number Information
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NPI Number | 1437329596
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Entity Type | Individual
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Provider Name | LUIS R CANETTI MD
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Gender | Male
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | SAN JUAN BAUTISTA MEDICAL CENTER PR 172 URB. TURABO GARDENS
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-653-0550
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6832
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City | CAGUAS
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State | PR
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Zip | 00726-6832
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Country | US
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Telephone | 787-743-6971
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 10846
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License Number State | PR
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