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General NPI Number Information
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NPI Number | 1689603169
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Entity Type | Individual
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Provider Name | LUIS OLIVARI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | T3-9 CALLE SANDALIO ALONSO LAS LOMAS
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City | SAN JUAN
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State | PR
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Zip | 00921-3632
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Country | US
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Telephone | 787-273-8053
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Fax | 787-781-4555
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Provider Business Mailing Address
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Address Line | 2000 CARR 8177 SUITE 26, PMB 226
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City | GUAYNABO
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State | PR
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Zip | 00966-3733
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Country | US
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Telephone | 787-273-8053
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Fax | 787-781-4555
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 6080
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License Number State | PR
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