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General NPI Number Information
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NPI Number | 1750500229
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Entity Type | Individual
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Provider Name | ZORAYA DIAZ MONSERRATE DMD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | CARR 844 KM 5 HM 0 BARRIO CARRAIZO
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City | TRUJILLO ALTO
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State | PR
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Zip | 00977
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Country | US
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Telephone | 787-326-9926
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 366954
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City | SAN JUAN
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State | PR
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Zip | 00936-6954
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Country | US
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Telephone | 787-362-9926
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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 | 2567
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License Number State | PR
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