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General NPI Number Information
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NPI Number | 1528283454
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Entity Type | Organization
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Legal Business Name | CLINICA DENTAL DRS ABIGAIL CARABALLS CSP
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CALLE MORSE #79
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City | ARROYO
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State | PR
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Zip | 00714
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Country | US
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Telephone | 787-839-7089
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Fax | 787-839-7089
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Provider Business Mailing Address
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Address Line | PO BOX 1180 CALLE MORSE #79
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City | ARROYO
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State | PR
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Zip | 00714
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Country | US
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Telephone | 787-839-7089
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Fax | 787-839-7089
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Authorized Official
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Title or Position | DUENA
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Name | ABIGAIL CARABALLS
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Credential | DMD
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Telephone | 787-839-7089
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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 | 1674
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License Number State | PR
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