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General NPI Number Information
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NPI Number | 1598223430
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Entity Type | Individual
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Provider Name | SERGIO E FERRER MENDEZ DMD
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Gender | Male
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 551 AVE ESCORIAL CAPARRA HEIGHTS
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City | SAN JUAN
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State | PR
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Zip | 00920
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Country | US
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Telephone | 787-782-0403
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Fax |
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Provider Business Mailing Address
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Address Line | CARRARA STREET #1254, PUERTO NUEVO
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City | SAN JUAN
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State | PR
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Zip | 00920
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Country | US
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Telephone | 787-932-7655
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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 | 3314
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License Number State | PR
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