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General NPI Number Information
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NPI Number | 1497740385
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Entity Type | Individual
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Provider Name | CARLOS RAMON URRUTIA D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | E122 CARR 860 ROLLING HILLS
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City | CAROLINA
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State | PR
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Zip | 00987-7010
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Country | US
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Telephone | 787-769-0840
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Fax | 939-204-1237
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Provider Business Mailing Address
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Address Line | PO BOX 1246
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City | TRUJILLO ALTO
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State | PR
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Zip | 00977-1246
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Country | US
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Telephone | 787-769-0840
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Fax | 939-204-1237
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1449
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License Number State | PR
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