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General NPI Number Information
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NPI Number | 1881587673
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Entity Type | Individual
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Provider Name | LAURA CECILIA CORDERO ARENCIBIA DMD
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 524 42ND ST
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City | UNION CITY
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State | NJ
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Zip | 07087-3288
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Country | US
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Telephone | 201-863-9090
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Fax |
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Provider Business Mailing Address
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Address Line | 20 BORIG PL
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City | LODI
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State | NJ
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Zip | 07644-1402
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Country | US
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Telephone | 201-238-6835
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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 | 22DI03093900
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License Number State | NJ
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