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General NPI Number Information
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NPI Number | 1851927388
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Entity Type | Organization
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Legal Business Name | DDS INC.
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Dates
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Enumeration Date | 03/16/2020
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 77 BRUNO CRUZ BLVD
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City | TOA BAJA
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State | PR
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Zip | 00949-2507
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Country | US
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Telephone | 787-794-2240
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Fax | 787-794-2240
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Provider Business Mailing Address
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Address Line | 77 BRUNO CRUZ BLVD
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City | TOA BAJA
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State | PR
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Zip | 00949-2507
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Country | US
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Telephone | 787-794-2240
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Fax | 787-794-2240
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAMARIS DEFENDINI
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Credential | MT
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Telephone | 787-485-3208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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