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General NPI Number Information
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NPI Number | 1821025206
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Entity Type | Individual
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Provider Name | LUIS JAVIER GOVEO ORTIZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MANATI MEDICAL CENTER CALLE HERNANDEZ CARRION URB ATENAS
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City | MANATI
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State | PR
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Zip | 00674
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Country | US
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Telephone | 787-621-3700
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Fax | 787-621-3710
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Provider Business Mailing Address
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Address Line | 425 CARR 693 PMB 103
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-310-9731
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Fax | 787-796-4379
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 13010
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License Number State | PR
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