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General NPI Number Information
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NPI Number | 1700896388
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Entity Type | Individual
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Provider Name | ARTURO CORDOVA LOPEZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 03/28/2014
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Provider Practice Location Address
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Address Line | AVE. CASA LINDA NUM. 1 SUITE 101 ENTRADA AMERICAN MILITARY ACADEMY
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-789-1919
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Fax | 787-789-1921
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Provider Business Mailing Address
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Address Line | PO BOX 10068
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City | SAN JUAN
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State | PR
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Zip | 00922-0068
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Country | US
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Telephone | 787-789-1919
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Fax | 787-789-1921
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 5502
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License Number State | PR
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