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General NPI Number Information
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NPI Number | 1548227234
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Entity Type | Individual
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Provider Name | DAVID R. ECHAVARRY D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | BOX 21431 UNIVERSITY STATION
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City | SAN JUAN
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State | PR
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Zip | 00931-1431
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Country | US
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Telephone | 787-771-1600
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Fax |
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Provider Business Mailing Address
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Address Line | BOX 21431 UNIVERSITY STATION
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City | SAN JUAN
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State | PR
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Zip | 00931-1431
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Country | US
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Telephone | 787-761-6914
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Fax | 130-941-2809
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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 | 2730
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License Number State | PR
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