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General NPI Number Information
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NPI Number | 1760756779
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Entity Type | Individual
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Provider Name | MARIA DEL PILAR IRIZARRY ORTIZ D.M.D
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Gender | Female
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 38 CALLE AMISTAD
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City | LAJAS
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State | PR
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Zip | 00667-2060
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Country | US
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Telephone | 787-384-2505
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Fax |
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Provider Business Mailing Address
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Address Line | 5 ERLICH CT
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City | LAJAS
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State | PR
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Zip | 00667-2614
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Country | US
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Telephone | 787-384-2505
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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 | 055930
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN20861
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3338
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License Number State | PR
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