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General NPI Number Information
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NPI Number | 1891140455
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Entity Type | Organization
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Legal Business Name | LIBIA R RIOS DDS PA
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 8901 SW 157TH AVE #12
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City | MIAMI
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State | FL
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Zip | 33196-1102
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Country | US
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Telephone | 786-536-5754
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Fax | 786-409-5894
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Provider Business Mailing Address
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Address Line | 8901 SW 157TH AVE #12
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City | MIAMI
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State | FL
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Zip | 33196-1102
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Country | US
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Telephone | 786-536-5754
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Fax | 786-409-5894
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LIBIA R RIOS
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Credential | DDS
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Telephone | 786-378-1906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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