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General NPI Number Information
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NPI Number | 1891688222
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Entity Type | Individual
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Provider Name | MARIA VALENTINA LAVIERI SOSA DMD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 31 MOUNTAIN VIEW DR
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City | DANVILLE
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State | VT
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Zip | 05828-9642
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Country | US
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Telephone | 802-684-1133
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Fax |
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Provider Business Mailing Address
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Address Line | 14678 SW 46TH CT
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City | OCALA
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State | FL
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Zip | 34473-2391
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Country | US
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Telephone |
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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 | 016.0134362
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License Number State | VT
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