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General NPI Number Information
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NPI Number | 1245378900
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Entity Type | Individual
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Provider Name | ADA F FARIA D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 500 AVE COMERIO SUITE #3
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City | LEVITTOWN
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State | PR
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Zip | 00949-4060
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Country | US
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Telephone | 787-795-0875
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 121 URB DORAVILLE 1-15 SEC 1
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City | DORADO
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State | PR
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Zip | 00646-5900
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Country | US
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Telephone |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 1932
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License Number State | PR
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