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General NPI Number Information
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NPI Number | 1164198933
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Entity Type | Organization
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Legal Business Name | GOLDEN SURGICAL LLC
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | URB MONTANEZ A 11
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City | BAYAMON
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State | PR
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Zip | 00957
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Country | US
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Telephone | 787-269-7900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3172
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City | BAYAMON
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State | PR
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Zip | 00960-3172
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Country | US
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Telephone | 787-269-7900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EFRAIN MONTANEZ MORALES
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Credential | DMD
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Telephone | 787-269-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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