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General NPI Number Information
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NPI Number | 1811336944
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Entity Type | Organization
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Legal Business Name | TORRIMAR ORTHODONTICS
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 06/21/2013
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Provider Practice Location Address
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Address Line | AVE. RAMIREZ DE ARELLANO 19-22 TORRIMAR SHOPPING CENTER
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-523-1900
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Fax | 787-523-1901
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Provider Business Mailing Address
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Address Line | AVE. RAMIREZ DE ARELLANO 19-22 TORRIMAR SHOPPING CENTER
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-523-1900
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Fax | 787-523-1901
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAURA I. MORALES
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Credential | D.M.D.
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Telephone | 787-523-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 2856
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License Number State | PR
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