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General NPI Number Information
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NPI Number | 1033937974
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Entity Type | Individual
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Provider Name | YALITZA MARIE CORTES MEDINA I DMD
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | CALLE RAFOLS ESQUINA DEL CARMEN #116
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City | QUEBRADILLAS
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State | PR
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Zip | 00678
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Country | US
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Telephone | 787-897-2727
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Fax | 787-895-1540
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Provider Business Mailing Address
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Address Line | B18 CALLE 4 URB EL RETIRO
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City | QUEBRADILLAS
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State | PR
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Zip | 00678-1606
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Country | US
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Telephone | 910-644-3635
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 3513
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License Number State | PR
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