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General NPI Number Information
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NPI Number | 1023248325
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Entity Type | Organization
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Legal Business Name | MAYTE ACCORNERO, DMD, P.A.
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 07/21/2009
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Provider Practice Location Address
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Address Line | 270 CORNERSTONE DR SUITE 106
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City | CARY
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State | NC
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Zip | 27519-8400
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Country | US
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Telephone | 919-380-7624
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Fax | 919-380-7071
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Provider Business Mailing Address
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Address Line | PO BOX 1144
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City | APEX
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State | NC
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Zip | 27502-3144
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Country | US
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Telephone | 787-231-9374
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. MAYTE ACCORNERO
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Credential | DMD
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Telephone | 787-231-9374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 8480
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License Number State | NC
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