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General NPI Number Information
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NPI Number | 1154639524
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Entity Type | Individual
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Provider Name | CESAR AUGUSTO MENDEZ DMD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | ESTANCIAS DEL PARRA #127
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City | LAJAS
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State | PR
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Zip | 00681
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Country | US
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Telephone | 939-717-5870
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6813
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City | MAYAGUEZ
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State | PR
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Zip | 00681
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Country | US
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Telephone | 939-717-5870
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2858
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License Number State | PR
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