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General NPI Number Information
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NPI Number | 1407622327
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Entity Type | Organization
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Legal Business Name | SMILE CARE JCF
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Dates
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Enumeration Date | 12/01/2023
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 1238 AVE MUNOZ RIVERA
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City | PONCE
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State | PR
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Zip | 00717-0639
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Country | US
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Telephone | 787-840-2153
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 778
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City | ANASCO
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State | PR
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Zip | 00610-0778
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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 | DENTIST
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Name | DR. JOANINA CRESPO FLORES
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Credential | DMD
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Telephone | 787-678-3465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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