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General NPI Number Information
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NPI Number | 1588099337
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Entity Type | Organization
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Legal Business Name | DRA.CARMENJ.LABOYTORRES PSC
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 12107 CALLE TRAPICHE URB.ESTANCIAS DEL MAYORAL
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City | VILLALBA
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State | PR
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Zip | 00766
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Country | US
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Telephone | 787-847-6593
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Fax | 787-847-8272
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Provider Business Mailing Address
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Address Line | 12107 CALLE TRAPICHE URB.ESTANCIAS DEL MAYORAL
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City | VILLALBA
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State | PR
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Zip | 00766
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Country | US
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Telephone | 787-847-6593
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Fax | 787-847-8272
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Authorized Official
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Title or Position | DENTIST
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Name | MRS. CARMEN JULIA LABOY
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Credential | DMD
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Telephone | 787-847-6593
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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 |
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License Number State |
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