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General NPI Number Information
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NPI Number | 1548325137
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Entity Type | Organization
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Legal Business Name | PEDIATRIC DENTAL CLINIC DRA. YADIRA GARCIA SOTOMAYOR, P.S.C.
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | CARR 653 KM 2.2 SECTOR BARRANCA
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City | ARECIBO
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State | PR
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Zip | 00612
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Country | US
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Telephone | 787-816-8674
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 141557
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City | ARECIBO
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State | PR
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Zip | 00614-1557
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YADIRA GARCIA
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Credential | DDS
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Telephone | 787-816-8674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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