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General NPI Number Information
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NPI Number | 1487716007
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Entity Type | Individual
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Provider Name | LILIANA BERROCAL DMD
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | BETANCES AVE URB HERMANAS DAVILA #I8
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City | BAYAMON
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State | PR
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Zip | 00959-5109
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Country | US
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Telephone | 787-780-7509
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Fax |
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Provider Business Mailing Address
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Address Line | CALLET 6 URB ALTURAS DEL RIO #K13
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City | BAYAMON
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State | PR
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Zip | 00959-8902
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Country | US
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Telephone | 787-780-7509
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 1887
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License Number State | PR
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