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General NPI Number Information
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NPI Number | 1689786170
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Entity Type | Individual
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Provider Name | JOSE J DIAZ-ABASCAL DDS
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | A 1 MUNOZ RIVERA SUITE 302 HIMA SURGICENTER
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City | CAGUAS
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State | PR
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Zip | 00726-0870
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Country | US
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Telephone | 787-744-3087
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Fax | 787-746-4840
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Provider Business Mailing Address
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Address Line | PO BOX 870
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City | CAGUAS
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State | PR
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Zip | 00726-0870
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Country | US
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Telephone | 787-744-3087
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Fax | 787-746-4840
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2098
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License Number State | PR
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