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General NPI Number Information
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NPI Number | 1366242497
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Entity Type | Organization
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Legal Business Name | AVR PROSTHODONTICS LLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | A20 CALLE 13
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City | BAYAMON
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State | PR
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Zip | 00956-4553
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Country | US
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Telephone | 787-799-1170
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Fax |
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Provider Business Mailing Address
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Address Line | URB SAN FRANCISCO 1661 CALLE PLAYERA
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City | SAN JUAN
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State | PR
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Zip | 00927
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Country | US
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Telephone | 787-646-2997
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANA C VAZQUEZ RAMIREZ
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Credential | DMD
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Telephone | 787-646-2997
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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 |
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License Number State |
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