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General NPI Number Information
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NPI Number | 1942239181
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Entity Type | Individual
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Provider Name | REYNALDO PEZZOTTI ALVAREZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | AVE.GENERAL VALERO KL.2.6 CARR. 194
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 787-655-5030
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE INGENIO # 275 HACIENDA MARGARITA
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City | LUQUILLO
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State | PR
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Zip | 00773-3132
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Country | US
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Telephone | 787-448-5777
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 7152
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License Number State | PR
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