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General NPI Number Information
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NPI Number | 1194871426
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Entity Type | Individual
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Provider Name | ANA EVELYN AYALA DMD
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Gender | Female
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Dates
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Enumeration Date | 01/27/2007
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 200 CARR 7733
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City | CIDRA
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State | PR
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Zip | 00739-3394
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Country | US
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Telephone | 787-739-6700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 209
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City | CIDRA
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State | PR
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Zip | 00739-0209
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Country | US
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Telephone | 787-738-9350
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Fax | 787-738-9350
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 2290
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License Number State | PR
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