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General NPI Number Information
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NPI Number | 1376960658
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Entity Type | Individual
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Provider Name | BEATRIZ D. GUERRA CRESPO D.D.S
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Gender | Female
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 10721 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33174-1421
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Country | US
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Telephone | 305-225-3452
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Fax |
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Provider Business Mailing Address
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Address Line | 13701 SW 66TH ST APT B106
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City | MIAMI
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State | FL
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Zip | 33183-2252
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Country | US
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Telephone | 305-965-9568
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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 | 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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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 21830
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License Number State | FL
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