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General NPI Number Information
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NPI Number | 1194712281
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Entity Type | Individual
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Provider Name | RAFAEL XAVIER RODRIGUEZ-WERNER DMD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 10/15/2023
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Provider Practice Location Address
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Address Line | REPARTO ALHAMBRA D95 AVE. LOS MILLONES
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City | BAYAMON
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State | PR
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Zip | 00959-0000
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Country | US
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Telephone | 787-740-1919
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Fax | 787-650-3584
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Provider Business Mailing Address
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Address Line | PO BOX 143636
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City | ARECIBO
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State | PR
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Zip | 00614-3636
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Country | US
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Telephone | 787-740-1919
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Fax | 787-650-3584
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2093
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License Number State | PR
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