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General NPI Number Information
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NPI Number | 1083681191
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Entity Type | Individual
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Provider Name | JOSE CARLOS JUAMBELTZ DDS
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Gender | Male
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 10085 DUNKIRK WAY STE 104
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City | DUNKIRK
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State | MD
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Zip | 20754-2024
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Country | US
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Telephone | 410-257-7676
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Fax | 410-257-5212
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Provider Business Mailing Address
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Address Line | PO BOX 219
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City | DUNKIRK
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State | MD
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Zip | 20754-0219
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Country | US
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Telephone | 410-271-4004
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 11030
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License Number State | MD
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