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General NPI Number Information
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NPI Number | 1710920889
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Entity Type | Individual
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Provider Name | MARIA IDAMIS TORRES PILLICH D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | CALLE LUIS MUNOZ RIVERA #2
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City | CAYEY
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State | PR
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Zip | 00737
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Country | US
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Telephone | 787-738-7370
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Fax | 787-739-7370
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Provider Business Mailing Address
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Address Line | B23 CALLE ARAWAK URB. CAGUAX
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City | CAGUAS
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State | PR
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Zip | 00725-3305
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Country | US
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Telephone | 787-746-8335
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2497
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License Number State | PR
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