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General NPI Number Information
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NPI Number | 1821137092
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Entity Type | Individual
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Provider Name | BEATRIZ YOLANDA CALDERON DMD
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 2135 CARR 2 STE 45
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City | BAYAMON
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State | PR
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Zip | 00959-5245
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Country | US
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Telephone | 787-785-3170
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Fax |
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Provider Business Mailing Address
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Address Line | 7063 CARR 187 CONDOMINIO PLAYA SERENA APT 805
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City | CAROLINA
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State | PR
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Zip | 00979-7035
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Country | US
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Telephone | 787-505-3756
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D1707
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License Number State | PR
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