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General NPI Number Information
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NPI Number | 1770726150
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Entity Type | Individual
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Provider Name | JAVIER ANAYA GONZALEZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | AVE. CAMPO RICO A-6 CASTELLANA GARDENS
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City | CAROLINA
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State | PR
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Zip | 00983
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Country | US
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Telephone | 787-752-7897
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Fax |
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Provider Business Mailing Address
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Address Line | URB. CIUDAD CENTRO # 57 CALLE GUAMANI
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-276-1602
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 18314
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License Number State | PR
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