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General NPI Number Information
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NPI Number | 1912977448
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Entity Type | Individual
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Provider Name | GABRIEL J GARCIA-TALAVERA M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 1431 AVE PONCE DE LEON OFIC. 302
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City | SAN JUAN
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State | PR
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Zip | 00907-4026
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Country | US
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Telephone | 787-977-4810
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Fax | 787-977-4813
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Provider Business Mailing Address
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Address Line | COND. PASEOMONTE 381 AVE. FELISA RINCON, APT. 902
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City | SAN JUAN
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State | PR
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Zip | 00926-6662
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Country | US
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Telephone | 787-755-6248
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Fax | 787-977-4813
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 9507
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License Number State | PR
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