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General NPI Number Information
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NPI Number | 1265968135
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Entity Type | Individual
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Provider Name | RUBEN VILORIA DDS
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Gender | Male
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 7875 SW 104TH ST STE 100
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City | MIAMI
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State | FL
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Zip | 33156-2642
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Country | US
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Telephone | 305-859-0539
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Fax |
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Provider Business Mailing Address
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Address Line | 1480 NW NORTH RIVER DR APT E2305
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City | MIAMI
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State | FL
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Zip | 33125
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Country | US
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Telephone | 305-859-0539
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 25519
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0401416911
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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