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General NPI Number Information
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NPI Number | 1144560277
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Entity Type | Organization
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Legal Business Name | DARIENNE O'FERRAL, P.S.C. DENTAL OFFICES
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Dates
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Enumeration Date | 02/27/2013
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | DOMENECH 315
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-754-0600
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Fax |
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Provider Business Mailing Address
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Address Line | DOMENECH 315
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-754-0600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DARIENNE M O'FERRAL
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Credential | DMD
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Telephone | 787-754-0600
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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 | 2342
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License Number State | PR
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