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General NPI Number Information
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NPI Number | 1134197189
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Entity Type | Individual
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Provider Name | FERNANDO ALBERTO OLIVER AUFFANT DDS
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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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. ESCORIAL #551 ,CAPARRA HEIGHTS
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City | SAN JUAN
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State | PR
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Zip | 00920
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Country | US
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Telephone | 787-782-0403
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Fax | 787-749-1070
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Provider Business Mailing Address
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Address Line | BLVD.DE LOS ARBOLES BOX 393, ARBOLES DE MONTEHIEDRA
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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 | 787-287-4761
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Fax | 787-731-4268
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1941
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License Number State | PR
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