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General NPI Number Information
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NPI Number | 1831799097
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Entity Type | Organization
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Legal Business Name | SONRIEPR DENTISTAS LLC
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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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 | 939-493-4112
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7215
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City | MAYAGUEZ
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State | PR
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Zip | 00681-7215
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Country | US
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Telephone | 939-493-4112
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. ROBERTO ALEJANDRO TORRES DAVIS
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Credential | DMD
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Telephone | 787-458-2303
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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