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General NPI Number Information
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NPI Number | 1780250001
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Entity Type | Individual
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Provider Name | YINA ISABEL CARRION DMD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | PLAZA REAL SHOPPING CENTER SUITE 105
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-400-9714
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Fax |
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Provider Business Mailing Address
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Address Line | 630 AVE SAN PATRICIO APT 205
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City | GUAYNABO
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State | PR
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Zip | 00968-4511
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Country | US
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Telephone | 787-233-7508
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 3402
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License Number State | PR
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