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General NPI Number Information
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NPI Number | 1033934294
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Entity Type | Organization
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Legal Business Name | JV DENTAL LLC
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 409 CALLE RAMON E BETANCES
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-833-6141
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Fax |
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Provider Business Mailing Address
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Address Line | URB SULTANA 65 MALAGA ST.
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-240-5099
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Fax |
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Authorized Official
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Title or Position | DR
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Name | DR. ASTRID JUSTINIANO VELEZ
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Credential | DMD
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Telephone | 787-240-5099
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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 |
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License Number State |
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