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General NPI Number Information
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NPI Number | 1801994371
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Entity Type | Individual
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Provider Name | DORIS R MAURY D.M.D
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 502 CALLE LUIS MUNIZ SOUFFRONT VILLA GRANADA
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City | SAN JUAN
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State | PR
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Zip | 00923-2419
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Country | US
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Telephone | 787-282-7492
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Fax | 787-282-0711
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Provider Business Mailing Address
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Address Line | 1299 CALLE W BOSCH APT 1209 TERRASAS DE SAN JUAN
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City | SAN JUAN
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State | PR
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Zip | 00924-4669
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Country | US
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Telephone | 787-282-7492
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Fax | 787-282-0711
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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 | 2247
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License Number State | PR
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