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General NPI Number Information
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NPI Number | 1487669180
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Entity Type | Individual
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Provider Name | LUIS A NAVEDO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 AVE LAGUNA LAGUNA GARDENS I, APT 3J
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City | CAROLINA
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State | PR
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Zip | 00979-6401
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Country | US
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Telephone | 787-667-1085
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Fax |
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Provider Business Mailing Address
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Address Line | 1 AVE LAGUNA LAGUNA GARDENS I, APT 3J
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City | CAROLINA
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State | PR
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Zip | 00979-6401
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Country | US
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Telephone | 787-667-1085
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 16498
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License Number State | PR
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