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General NPI Number Information
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NPI Number | 1801672621
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Entity Type | Individual
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Provider Name | MARTA MARIA PEREZ CANALS DMD
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Gender | Female
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 5 CALLE JARDINES
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City | HORMIGUEROS
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State | PR
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Zip | 00660-1733
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Country | US
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Telephone | 787-849-0094
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 25709
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City | SAN GERMAN
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State | PR
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Zip | 00683-9339
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Country | US
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Telephone |
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 003427
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DN123220
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License Number State | GA
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