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General NPI Number Information
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NPI Number | 1114092160
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Entity Type | Individual
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Provider Name | LUIS E GONZALEZ-COGNET DMD
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Gender | Male
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | AVE LAS MARIAS 212 HYDEPARK
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-505-7717
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Fax | 787-731-4573
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Provider Business Mailing Address
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Address Line | CALLE 6 S-7 #12 URB PARANA
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-505-7717
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Fax | 787-731-4573
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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 | 893
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License Number State | PR
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