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General NPI Number Information
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NPI Number | 1073889812
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Entity Type | Individual
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Provider Name | JOSE ANGEL MORALES DMD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 1452 ASHFORD AVE. SUITE 406
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City | SAN JUAN
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State | PR
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Zip | 00907
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Country | US
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Telephone | 787-523-6949
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CALLE DEL MUELLE APT 2204
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City | SAN JUAN
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State | PR
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Zip | 00901-2641
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Country | US
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Telephone | 787-523-6949
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN22057
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3156
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License Number State | PR
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