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General NPI Number Information
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NPI Number | 1437723665
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Entity Type | Individual
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Provider Name | CLAIRIS PEREZ
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Gender | Female
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 4320 SW 102ND AVE
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City | MIAMI
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State | FL
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Zip | 33165-5021
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Country | US
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Telephone | 786-925-7236
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Fax |
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Provider Business Mailing Address
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Address Line | 839 MORRISON PARK DR APT 316
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City | SAN JOSE
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State | CA
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Zip | 95126-5316
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Country | US
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Telephone | 786-925-7236
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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 | 107593
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License Number State | CA
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