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General NPI Number Information
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NPI Number | 1649800368
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Entity Type | Organization
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Legal Business Name | IGNACIO S. GISPERT, D.D.S P.A.
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 189 CHRISTIANA RD
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City | NEW CASTLE
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State | DE
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Zip | 19720-3039
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Country | US
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Telephone | 302-322-2303
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Fax |
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Provider Business Mailing Address
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Address Line | 189 CHRISTIANA RD
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City | NEW CASTLE
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State | DE
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Zip | 19720-3039
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Country | US
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Telephone | 302-322-2303
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IGNACIO VIRGILIO GISPERT
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Credential | D.M.D.
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Telephone | 302-547-1655
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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 |
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License Number State |
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