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General NPI Number Information
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NPI Number | 1649412933
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Entity Type | Organization
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Legal Business Name | LLAVONA MEDICAL SERVICES
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | CALLE 65 INTANTERIA 76 SUR
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City | LAJAS
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State | PR
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Zip | 00667
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Country | US
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Telephone | 787-899-5022
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Fax | 787-899-5022
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Provider Business Mailing Address
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Address Line | P.O. BOX 1717
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City | LAJAS
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State | PR
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Zip | 00667-1717
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Country | US
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Telephone | 787-899-5022
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Fax | 787-899-5022
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Authorized Official
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Title or Position | DOCTOR
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Name | ORLANDO J. LLAVONA
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Credential | M.D.
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Telephone | 787-899-5022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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