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General NPI Number Information
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NPI Number | 1649391368
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Entity Type | Individual
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Provider Name | BEATRIZ MIRABAL DDS
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 720 YORKLYN RD STE 120
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City | HOCKESSIN
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State | DE
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Zip | 19707-8728
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Country | US
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Telephone | 302-234-2728
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Fax | 302-234-3326
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Provider Business Mailing Address
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Address Line | 615 S HANCOCK ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-2404
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Country | US
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Telephone | 215-906-0865
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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 | G1-0001172
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License Number State | DE
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