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General NPI Number Information
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NPI Number | 1154127769
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Entity Type | Organization
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Legal Business Name | FRIAS PRECISION ORAL SURGERY LLC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | URB LOMA LINDA 1, A1,
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City | COROZAL
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State | PR
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Zip | 00783
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Country | US
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Telephone | 787-859-3880
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Fax |
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Provider Business Mailing Address
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Address Line | URB LOMA LINDA 1, A1,
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City | COROZAL
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State | PR
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Zip | 00783
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Country | US
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Telephone | 787-859-3880
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JOSE A FRIAS
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Credential | DMD
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Telephone | 787-341-6682
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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 |
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License Number State |
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