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General NPI Number Information
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NPI Number | 1851300701
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Entity Type | Individual
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Provider Name | ORLANDO CANIZARES M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 400 ROOSEVELT AVE. CLINICA LAS AMERICAS SUITE 412
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-753-1999
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Fax | 787-753-1101
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Provider Business Mailing Address
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Address Line | AVE. ROOSEVELT # 400 SUITE 412- CLINICA LAS AMERICAS
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-753-1999
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Fax | 787-753-1101
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 4921
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License Number State | PR
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