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General NPI Number Information
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NPI Number | 1891309811
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Entity Type | Individual
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Provider Name | KARINA MICHELLE CORREA DMD
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Gender | Female
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Dates
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Enumeration Date | 09/08/2020
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | FAJARDO SHOPPING CTR STE C
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City | FAJARDO
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State | PR
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Zip | 00738-6005
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Country | US
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Telephone | 787-860-4088
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Fax |
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Provider Business Mailing Address
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Address Line | URB SANTA ISIDRA 3 CALLE 2 F-18
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City | FAJARDO
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State | PR
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Zip | 00738
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Country | US
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Telephone | 787-404-3215
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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 | 3403
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License Number State | PR
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