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General NPI Number Information
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NPI Number | 1649345471
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Entity Type | Individual
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Provider Name | JOSE LUIS LIANO M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 500 CALLE MANUEL DOMENECH STE 402
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City | SAN JUAN
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State | PR
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Zip | 00918-3736
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Country | US
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Telephone | 787-756-5721
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Fax | 787-766-2069
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Provider Business Mailing Address
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Address Line | 300 AVE LA SIERRA APT # 165
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City | SAN JUAN
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State | PR
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Zip | 00926-4330
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Country | US
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Telephone | 787-756-5721
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Fax | 787-766-2069
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 11817
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License Number State | PR
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