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General NPI Number Information
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NPI Number | 1871032946
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Entity Type | Individual
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Provider Name | MILMARIE LOPEZ SILVA DMD
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Gender | Female
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Dates
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Enumeration Date | 02/22/2017
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 1453 CALLE SAN IGNACIO URB. ALTAMESA
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-792-1391
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1154
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City | AGUADA
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State | PR
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Zip | 00602-1154
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Country | US
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Telephone | 787-454-2032
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3332
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License Number State | PR
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