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General NPI Number Information
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NPI Number | 1497744072
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Entity Type | Individual
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Provider Name | LIDIA M GUERRERO-RODRIGUEZ DMD
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Gender | Female
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Dates
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Enumeration Date | 10/17/2005
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 181 SOUTH MARGINAL STREET CORNER OF 521 VALCARCEL STREET
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City | SAN JUAN
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State | PR
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Zip | 00923-3337
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Country | US
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Telephone | 787-755-4347
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Fax | 787-520-7288
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Provider Business Mailing Address
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Address Line | PO BOX 29736
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City | SAN JUAN
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State | PR
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Zip | 00929-0736
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Country | US
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Telephone | 787-755-4347
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Fax | 787-283-7440
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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 | 2074
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 2074
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License Number State | PR
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