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General NPI Number Information
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NPI Number | 1528707676
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Entity Type | Individual
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Provider Name | AMADIS RODRIGUEZ HOYOS
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Gender | Male
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Dates
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Enumeration Date | 05/27/2022
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Last Update Date | 06/15/2023
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Provider Practice Location Address
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Address Line | 374 CLL SOLDADO RAFAEL LAMAR GUERRA
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-767-7471
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Fax |
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Provider Business Mailing Address
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Address Line | DE DIEGO 444 APT. 1909
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City | SAN JUAN
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State | PR
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Zip | 00923
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Country | US
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Telephone | 787-504-5070
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3442
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License Number State | PR
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