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General NPI Number Information
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NPI Number | 1003648668
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Entity Type | Organization
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Legal Business Name | SKY ORTHODONTICS LLC
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Dates
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Enumeration Date | 08/14/2024
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 118 AVE MONSERRATE
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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 | 787-750-2886
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Fax |
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Provider Business Mailing Address
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Address Line | 4 COND SAN FERNANDO VLG APT 327
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City | CAROLINA
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State | PR
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Zip | 00987-6964
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Country | US
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Telephone | 787-485-9142
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC TORRES
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Credential | DMD
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Telephone | 787-485-9142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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