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General NPI Number Information
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NPI Number | 1467946962
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Entity Type | Individual
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Provider Name | LUIS FILIPE DA CRUZ MONTEIRO DE PINA MD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 100 N ACADEMY AVE
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City | DANVILLE
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State | PA
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Zip | 17822-9800
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Country | US
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Telephone | 570-271-6361
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Fax | 570-271-5785
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Provider Business Mailing Address
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Address Line | 4054 SPRUCE ST APT 3F
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City | PHILADELPHIA
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State | PA
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Zip | 19104-7307
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Country | US
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Telephone | 267-847-2836
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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 | MD481416
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License Number State | PA
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