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General NPI Number Information
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NPI Number | 1043701261
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Entity Type | Organization
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Legal Business Name | PEDRO J. CUARTAS, DDS, APDC
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 600 VALHI BLVD
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City | HOUMA
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State | LA
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Zip | 70360
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Country | US
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Telephone | 985-872-3677
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Fax |
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Provider Business Mailing Address
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Address Line | 600 VALHI BLVD
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City | HOUMA
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State | LA
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Zip | 70360-5976
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Country | US
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Telephone | 985-872-3677
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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. PEDRO JOSE CUARTAS
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Credential | DDS
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Telephone | 985-872-3677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 5237
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | LA5237
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License Number State | LA
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